| 梅玉虹,田海玉,周戈耀,雷雪,李祖兰.住院患者视角下三甲医院临床药学服务开展现状和效果的影响因素研究[J].中国药事,2022,36(2):185-193 |
| 住院患者视角下三甲医院临床药学服务开展现状和效果的影响因素研究 |
| On the Current Situation and Influencing Factors of the Effect of Clinical Pharmaceutical Care in Level-A Tertiary Hospitals from the Perspective of Inpatients |
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| DOI：10.16153/j.1002-7777.2022.02.011 |
| 中文关键词: 三甲医院 临床药学服务 患者满意度 影响因素分析 贵州省 |
| 英文关键词: level-A tertiary hospital clinical pharmaceutical care patient satisfaction analysis of influencing factors Guizhou Province |
| 基金项目:贵州省卫生发展研究院(编号 gywf2021-5)；贵州省“十四五”公共卫生体系建设规划 |
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| 中文摘要: |
| 目的：从住院患者视角评价贵州省三甲医院临床药学服务开展现状和效果，为完善和优化三甲医院临床药学服务提供参考。方法：采用分层随机抽样方法，抽取贵州省10家三甲医院的267名住院患者进行问卷调查，采用SPSS26.0软件对问卷调查结果进行描述性统计，并基于RxC列联表χ 2 检验和有序多分类Logistic回归分析方法找出影响住院患者对临床药学服务满意度的主要因素。结果：本次研究发放并收集到住院患者问卷267份，回收有效率100.0%。267名住院患者中，有168名(62.9%)对临床药学服务有所了解；有152名(56.9%)接受过临床药学服务，其中125名(82.2%)肯定了临床药学服务的重要性，82名(53.9%)对临床药学服务表示满意。未接受过临床药学服务的115名患者中，96名(83.5%) 有临床药学服务需求，主要集中于用药咨询(71.9%)和治疗方案制定(54.2%)服务上。影响因素分析发现，患者年龄、对临床药学服务重要性的认知、对临床药师的用药指导帮助度以及咨询效率(频率和及时性)的满意度是影响患者总体满意度的主要独立因素(P ＜0.05)。结论：建议加大对临床药师的重视度，加强临床药学人才队伍建设；临床药师应积极参与患者的用药指导咨询，并注重老年患者的用药监护。 |
| 英文摘要: |
| Objective: To evaluate the current situation and effect of clinical pharmaceutical care in level-A tertiary hospitals in Guizhou Province from the perspective of inpatients in order to provide references for improving and optimizing clinical pharmaceutical care in level-A tertiary hospitals. Methods: By using stratified random sampling method, 267 inpatients from 10 level-A tertiary hospitals in Guizhou Province were selected for questionnaire survey. SPSS 26.0 software was used to do descriptive statistics of the survey results, and based on the RxC contingency table χ 2 test and ordinal multiple logistic regression analysis, the main factors influencing inpatients' satisfaction with clinical pharmaceutical care were found out. Results: Two hundred and sixty seven questionnaires were distributed and collected, and the effective rate was 100.0%. Among 267 inpatients, 168 (62.9%) knew about clinical pharmaceutical care, 152 (56.9%) had received clinical pharmaceutical care, 125 (82.2%) affirmed the importance of clinical pharmaceutical care, and 82 (53.9%) were satisfied with clinical pharmaceutical care. Among 115 patients who had not received clinical pharmaceutical care, 96 (83.5%) needed clinical pharmaceutical care, mainly focusing on medication consultation (71.9%) and treatment plan formulation (54.2%). The analysis of influencing factors suggested that the age of patients, the recognition of the importance of clinical pharmaceutical care, the degree of help for clinical pharmacists in medication guidance and the satisfaction of consultation efficiency (frequency and timeliness) were the main independent factors influencing the overall satisfaction of patients (P ＜0.05). Conclusion: It is suggested to pay more attention to clinical pharmacists and strengthen the construction of clinical pharmacy talent team. Clinical pharmacists should actively participate in the medication guidance and consultation of patients and attach importance to the medication monitoring of elderly patients. |
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