Study on the Clinical Value of Clinical Pharmacist’s Medication Management in Promoting the RationalUse of Pediatric Drugs

Wang Qingping; Zheng Jiali; Hu Wenjing; Wu Xuechai

doi:10.13407/j.cnki.jpp.1672-108X.2023.04.009

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Study on the Clinical Value of Clinical Pharmacist’s Medication Management in Promoting the RationalUse of Pediatric Drugs

更新时间：2023-04-28

- Study on the Clinical Value of Clinical Pharmacist’s Medication Management in Promoting the RationalUse of Pediatric Drugs
- Vol. 29, Issue 4, Pages: 31-34(2023)
- 作者机构：
  
  西部战区总医院,成都,610083
- 作者简介：
- 基金信息：
- DOI：10.13407/j.cnki.jpp.1672-108X.2023.04.009
  CLC：
- Published：2023，
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Wang Qingping, Zheng Jiali, Hu Wenjing, et al. Study on the Clinical Value of Clinical Pharmacist’s Medication Management in Promoting the RationalUse of Pediatric Drugs. [J]. 29(4):31-34(2023)
DOI：

Wang Qingping, Zheng Jiali, Hu Wenjing, et al. Study on the Clinical Value of Clinical Pharmacist’s Medication Management in Promoting the RationalUse of Pediatric Drugs. [J]. 29(4):31-34(2023) DOI： 10.13407/j.cnki.jpp.1672-108X.2023.04.009.

摘要

目的:探讨临床药师用药管理在促进儿科合理用药的临床价值。方法:选取2019 年7 月至2020 年12 月在西部战区总医院儿科住院治疗的213 例患儿

采用随机数表法分成对照组和研究组

对照组105 例患儿行常规用药管理

研究组108 例患儿由临床药师用药全过程进行管理

比较两组患儿不合理用药情况(用法用量不适宜、药物选择不适宜、重复给药、超适应证用药)、抗菌药物使用情况(抗菌药物使用种类、用药时间、用药费用及抗菌药物联合用药种类)、用药满意度。结果:研究组用法用量不适宜(1. 85%)、药物选择不适宜(0. 93%)、重复给药(0. 93%)、超适应证用药发生率(1. 85%) 均低于对照组(9. 52%、 8. 57%、10. 48%、10. 48%)(P 均<0. 05);研究组的抗菌药物使用种类、用药时间、用药费用及抗菌药物联合用药种类均低于对照组(P 均<0. 05);观察组患者总体满意率(98. 15%)高于对照组(87. 62%)(P<0. 05);研究组不良反应总发生率为3. 70%

低于对照组的20. 95%(P<0. 05);研究组用药依从率为87. 96%

高于对照组的75. 24%(P<0. 05)。结论:临床药师用药管理有利于提升儿科用药合理性

增加用药满意度

降低用药不良反应发生率

提升患儿用药依从性

具有重要的临床意义。

Abstract

Objective: To explore the clinical value of clinical pharmacists’ medication management in promoting the rational use of pediatric drugs. Methods: A total of 213 children who were hospitalized in the Western Theater General Hospital from July 2019 to December 2020 were selected and randomized into control group and study group. The control group (105 cases) were administered conventional medication management

and the study group (108 cases) were administered the whole process of medication by clinical pharmacists. The irrational medication use (irrational usage and dosage unreasonable drug

unreasonable selection

repeated dosing

and over-indication medication)

antimicrobial use ( type of antimicrobial use

medication time

medication costs and types of antibacterial drug combination)

and medication satisfaction were compared between the two groups. Results: The incidence of irrational usage and dosage (1. 85%)

unreasonable drug selection (0. 93%)

repeated administration (0. 93%)

and the over-indication drug use (1. 85%) was lower than those of the control group (9. 52%

8. 57%

10. 48%

10. 48%)

with a statistically significant difference (P<0. 05). The types of used antibacterial drugs

medication time

medication costs and types of antibacterial drug combination in the study group were lower than those of the control group

and the differences were statistically significant (P < 0. 05). The overall satisfaction rate of patients in the observation group (98. 15%) was higher than that of the control group (87. 62%)

and the difference was statistically significant (P<0. 05). The total incidence of adverse reactions in the study group was 3. 70%

which was lower than 20. 95% in the control group

and the difference was statistically significant (P<0. 05). The medication compliance rate in the study group was 87. 96%

which was significantly higher than that in the control group (75. 24%)

and the difference was statistically significant (P<0. 05). Conclusion: The clinical pharmacist’s medication management is helpful to improve the rationality of pediatric medication

increase medication satisfaction

reduce the incidence of adverse drug reactions

and improve the medication compliance of children

with important guiding significance.

关键词

临床药师用药管理儿科合理用药抗菌药物满意度

Keywords

clinical pharmacistmedication managementpediatricsrational drug useantibacterial drugsatisfaction

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