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目的:提高精神科药物咨询质量,保障患者安全合理用药。方法:收集某院2013年7月-2015年12月1 260例门诊患者药物咨询记录,对咨询形式、咨询内容及咨询的药物类型进行统计分析。结果:药物咨询记录呈增长趋势,2015年年增长率为31.66%。咨询方式为电话和窗口咨询,电话咨询782例(62.06%),2014年和2015年咨询形式构成比无显著性差异(P>0.05)。药物咨询内容涉及广泛,前三位为药品用法用量(29.05%)、药品有无(20.87%)和不良反应(15.16%),占咨询内容的65.08%,2014年和2105年咨询内容构成比无显著性差异(P>0.05)。处于前三位的咨询药物类型为抗精神病药(30.24%)、抗抑郁药(23.97%)和镇静催眠药(18.17%),占药物类型的72.38%,2014年和2105年咨询药物类型构成比无显著性差异(P>0.05)。结论:开展药物咨询服务十分必要,是医院药学发展的必然趋势,药物咨询数量及质量有待于进一步提高。
Objective: To improve the quality of psychiatric drug counseling to ensure safe and rational drug use. Methods: A total of 1,260 outpatients were collected from July 2013 to December 2015 in a hospital for drug counseling. The types of counseling, the contents of consultation and the types of drugs consulted were analyzed statistically. Results: The record of drug counseling showed an increasing trend with an annual growth rate of 31.66% in 2015. There were 782 cases (62.06%) in consultation by telephone and window consultation, and no significant difference (P> 0.05) in the form of consultation by 2014 and 2015. Drug counseling covers a wide range of topics, with the top three categories being drug usage (29.05%), medicines (20.87%) and adverse reactions (15.16%), accounting for 65.08% of consulting content, and consulting contents in 2014 and 2105 Significant difference (P> 0.05). The top three counseling drug types were antipsychotics (30.24%), antidepressants (23.97%) and sedatives and hypnotics (18.17%), accounting for 72.38% of the drug types. The counseling types in 2014 and 2105 No significant difference (P> 0.05). Conclusion: It is very necessary to carry out drug counseling services, which is the inevitable trend of hospital pharmacy development. The quantity and quality of drug counseling needs to be further improved.