社区慢性阻塞性肺疾病患者合理用药咨询信息分析

Analysis of rational drug use counseling information in patients with chronic obstructive pulmonary disease in community

目的分析社区慢性阻塞性肺疾病(COPD)患者的合理用药咨询情况,为进一步开展社区COPD患者的药学服务和疾病的防治提供相关资料。方法汇总2011年7月-2014年12月来本中心合理用药咨询室的社区COPD患者咨询资料并进行分析。结果咨询药物相关内容859例次,以药理机制(26.54%)、药物不良反应(18.86%)和疗效(15.72%)多见,其中尤以抗感染类(21.42%)和糖皮质激素类(14.78%)为主要咨询药物;咨询发现药物不良反应情况15项,59例(11.80%)涉及诸多系统;咨询者健康教育参与率为74.63%,其中多以单一的影视教育形式为主(37.25%);咨询者用药说明书参阅率较低(18.54%)。结论社区COPD患者合理用药情况堪忧,影响疾病防治,进一步开展以合理用药为主导的社区药物服务势在必行。

Objective To analyze counseling information about rational drugs use for community patients with chronic obstructive pulmonary disease( COPD),in order to provide relevant information for the further development of pharmaceutical care and disease prevention in community COPD patients. Methods Consulting information of COPD patients from July 2011 to December 2014 in the advisory office of community was analysed. Results Drug consultation related to the contents of the859 cases with pharmacological mechanism(26. 54%),adverse drug reactions(18. 86%) and efficacy(15. 72%) were more comm,especially to anti infection class( 21. 42%) and glucocorticoids( 14. 78%) as the main drug consultation. Advisory found 15 cases of adverse drug reactions,59 cases(11. 80%) involving many systems. The health education participation rate was 74. 63%,among which the form of film and television education was mainly(37. 25%);The reference rate of the drug instruction manual for the consultants was low(18. 54%). Conclusion Rational pharmaceutical care is important for COPD patients in Community. COPD patients with reasonable medication situation in community is worrying,which effects disease prevention and control. Further to rational drug use for community medical service is imperative.