门诊患者服药依从性调查与门诊药师干预作用的分析.docxVIP

门诊患者服药依从性调查与门诊药师干预作用的分析 彭静刘恒戈通讯作者 中国人民解放军新疆军区卫牛处 北京830004? 【摘 要】目的：通过调查了解门诊患者服药的依从性状况，分析门诊药师 干预措施的影响。方法：从我院2013年1月份的门诊服药患者中随机选择360 例作为此次调查的对象，参与调查的药学服务人员进行统一培训后，开展门诊患 者服药依从性与影响因素的调查。结果：在360例调查患者中，依从性较好的患 者（A组）220人，占比61.10%,依从性较差的患者（B组）140 A,占38.90%。其中， 依从性差的患者（A组）与依从性好的患者（B组）相比，表现为年龄偏大，文化程度 低，收入不高。造成服药依从性差的因素主要有：疗程复杂（药物品种多，服药 次数频繁）62例次；不良反应27例次；药物外观和气味难以接受22例次；缺乏 相应用药指导18例次；不能正确理解药物说明书内容15例次；片面相信广告宣 传12例次。结论：影响门诊患者服药依从性的因素众多，需要门诊药师进一步 加强对患者的用药指导，改善服务态度，简化治疗方案，从而是患者服药依从性 得到有效提升。 【关键词】门诊患者；服药依从性；影响因素；药师干预 【中图分类号】R195 【文献标识码】B 【文章编号】1674-8999 （ 2015 ） 8-0151-02 The Survey of Outpatientsrsquo; Medication Compliance and the Analysis of Outpatient srsquo; Pharmacist Intervention 【Abstract】Objective： Through investigation to learn outpatientsrsquo; medicatio n complia nee status, an alysis the influe nee of outpatientsrsquo; pharmacist interventions. Methods： 360 cases were randomly selected as the object of the survey taking patients from our hospital in January 2013, pharmacy service pers onnel in volved in the investigation of a un ified training, con duct investigati on of factors with outpatientsrsquo; medication compliance. Results： In 360 cases patie nts that we in vestigated, Patie nts with good adhere nee (group A) 220, accounting for 61.10 percentz poor patients complianee (group B) 140, accounting for 38.90%? Patients with poor complianee (Group B) patients compared with good adhere nee (A group), performa nee for older, low educati on al level and less income. The main factors that resulting in poor medicati on complia nee in elude: Complex medication (drug varieties, the number of frequent medication) 62 cases; 27 cases of adverse reactions times; Drug appearanee and odor difficult to accept 22 cases; 18 cases of lack of appropriate medicatio n guide times; Could not correctly un d erst a nd the contents of the drug 15 cases manual times; 12 cases times of unilateral believe advertising. Conclusions： There are many factors that affect outpatient medicatio nsr