【摘要】 目的:探索改进和提高妇幼专科医院药学服务的方法和策略。方法:通过文献法调研及专家咨询,确定药学服务项目;同时采用问卷调查法、统计分析和访谈等方法,对该院已开展的药学服务项目内容、服务方法、服务水平和服务质量等相关资料进行分析。结果:确认的药学服务项目及李克特量表五点量表得分为审核处方4.53、患者用药咨询4.21、处方分析3.56、为医护人员提供用药信息3.73、建立住院患者药历3.14、药品不良反应(ADR)监测4.33、治疗药物监测4.31、参与临床药物治疗4.03、药物使用教育4.12、设计个体化给药方案3.98、进行药学研究3.58、普及药学知识及教育服务4.01。结论:该院开展的药学服务的工作主要为审核处方和ADR监测等,其他药学服务内容不全、流于形式,临床药师没有经过系统培训,没有系统开展药学科研。更多还原

【Abstract】 OBJECTIVE:To find suitable pharmaceutical care for our hospital. METHODS:The literature research and expertconsultation were adopted to determine the project of pharmaceutical care. Meanwhile,related information were analyzed by the questionnaire survey,statistical analysis interview and other methods in our hospital,such as the content,methods,level and quality of pharmaceutical care. RESULTS:The determined project of the pharmaceutical care and five-point scale were as follows:prescription audit 4.53,medication consultation 4.21,prescription analysis 3.56,information about the medication for doctors and nurses 3.73,to establish medical records of hospitalized patients 3.14,ADR monitoring 4.33,drug therapy monitoring 4.31,to participate in clinical drug therapy 4.03,education about drug use 4.12,to design individualized dosing regimens 3.98,pharmaceutical research 3.58,to popularize pharmaceutical knowledge and education service 4.01. CONCLUSIONS:The hospital should emphasize clincal pharmacist work and software and hardware construction entirely;make the best of modern approach to carry out pharmaceutical care,mainly involving prescription audit and ADR monitoring. However,the problems are that the content of some pharmaceutical cares are not complete,and become a mere formality;clinical pharmacists do not receive systematic trained,the pharmaceutical researches have not been carried out systematically.更多还原