摘要
目的：了解医院门诊慢性病老年人用药依从性现状及影响因素,探讨今后针对医院门诊老年人药学服务的重点。方法：以问卷调查方式,对2010年5月~10月到我院门诊就诊的60岁以上患慢性病的老年人进行调查。结果：在645份有效问卷中,评价为依从性佳者占81.2%,依从性不佳者占18.8%。用药不依从原因主要包括：忘记服药（57.2%）、顾忌不良反应（43.9%）、品种多记不清用法用量（33.3%）、认为自己病情好转（28.5%）、不清楚不依从用药的影响（23.4%）、医师没交待用法用量（17.4%）、更相信食物疗法（10.5%）、经济原因（9.6%）、药师没交待用法用量（9.5%）、认为自己不用吃药（9.1%）等。提高用药依从性的影响因素包括：医师交待清楚用药原因（54.7%）、选用不良反应少的药品（45.1%）、选用疗效更好的药品（44.2%）、选用用药次数少的药品（35.2%）、药师交待清楚用法用量（31.9%）、医师交待清楚用法用量（28.5%）、减少用药品种（23.9%）、可以方便与药师沟通（21.2%）、药品更经济（17.5%）、可以方便与医师沟通（16.9%）等。结论：药师交待并标注清楚药品的用法用量、医药知识的普及与指导、构建和完善方便患者与药师沟通的途径、构筑良好的医患关系等是当前及今后医院门诊药学服务的重点,尤其是对老年人。
Objective：Understanding hospital outpatient chronic disease status and influence factors of elderly patients with medication compliance,focus of discussion for hospital outpatient pharmacy services for the elderly in the future.Methods：To questionnaire surveys,between May 2010 and my hospital patient suffering from chronic diseases of the elderly over 60 years of investigation.Results：645 valid questionnaires,evaluation of compliance with good accounting for 81.2%,accounted for 18.8 percent of poor compliance.Medication non-compliance the main reasons include：Forgot medication（57.2%）,fear of adverse reactions（43.9%）,don’t remember the usage of varieties（33.3%）,consider themselves in a better condition（28.5%）,not clear non-compliance from the use of drugs（23.4%）,physicians did not explain the usage and consumption（17.4%）,believes food therapy（10.5%）,economic reasons（9.6%）,did not explain the usage of licensed pharmacists（9.5%）,consider themselves not to take medicines（9.1%）,etc.Improving medication compliance of influencing factors include：Doctor explains clearly the medication reason（54.7%）,select fewer adverse drug（45.1%）,choose the effect of better medicines（44.2%）,use of less frequent dosing of drugs（35.2%）,pharmacists a clear picture of usage and consumption（31.9%）,physicians made clear dosage and administration（28.5%）,reduce the number of drug varieties（23.9%）,you can easily communicate with pharmacists（21.2%）,pharmaceuticals（17.5%） and more economical,you can easily communicate with physicians（16.9%）,etc.Conclusion：Pharmacist to explain and marked clearly drug dosage,popularization of medical knowledge and guidance,building and perfecting ways to facilitate patient and pharmacist communication,build a good doctor-patient relationship is the focus of current and future outpatient pharmacy services,especially for the elderly.
出处
《中国医药导刊》
2012年第7期1279-1281,1277,共4页
Chinese Journal of Medicinal Guide
关键词
用药依从性
门诊患者
慢性病
老年人
Medication compliance
Outpatients
Chronic diseases
The Elderly
