论文部分内容阅读
目的调查医师、护师、药师对合理用药相关知识的知晓程度,以及各级医院促进合理用药政策的制定及执行情况,了解影响医务工作者用药的主要因素,为更好地推广合理用药提供决策参考。方法采用方便抽样抽取成都市、自贡市各级医院作为研究对象,用自制问卷对医师、护师、药师等医务工作者进行面对面调查。医院等级与合理用药指南制订的差异性分析采用Monte Carlo卡方分析,对影响调查对象合理用药知识知晓度的因素采用二分类logistic回归分析。结果共发放问卷700份,回收有效问卷672份,有效回收率96.0%。调查对象中对药事委员会、药物和治疗委员会熟悉的分别有217人(32.29%)和83人(12.35%);理解基本药物概念的有502人(74.71%);参加过合理用药知识培训的有411人(61.16%)。199名(29.61%)调查对象否认其所属医院设有药物和治疗委员会;60.71%的调查对象表示其所属医院对药物的使用进行监测和反馈。logistic回归分析发现职称、基本药物了解程度和合理用药培训参与情况是影响调查对象合理用药知识知晓度的因素(其P值分别为0.038,<0.001,0.008)。结论提高合理用药水平应注意管理和教育双管齐下。应健全合理用药监督机构、提升合理用药知识水平,推进合理用药;建立治疗或用药指南,提高用药合理性;规范制度、加强管理、注重教育、促进医患交流,改善医务工作者个人知识、科学信息和用药习惯。
OBJECTIVE: To investigate the level of awareness of physicians, nurses and pharmacists on the knowledge of rational drug use and the formulation and implementation of policies to promote rational drug use at all levels of hospitals, and to understand the main factors influencing medical staffs’ medication and decision making for better promotion of rational drug use reference. Methods The hospital of all levels in Chengdu and Zigong was sampled by convenient sampling. The questionnaires were used to conduct face-to-face investigations on medical workers such as physicians, nurses and pharmacists. Differences between hospital grade and rational drug use guidelines were analyzed by Monte Carlo chi-square analysis. Two-factor logistic regression analysis was used to analyze the factors influencing the respondents’ reasonable knowledge of drug use. Results A total of 700 questionnaires were sent out, 672 valid questionnaires were collected, and the effective recovery rate was 96.0%. 217 (32.29%) and 83 (12.35%) were familiar to the Board of Pharmacy, Drugs and therapeutic Committee respectively; 502 (74.71%) were aware of the concept of essential medicines; those who had participated in the training of rational drug use knowledge There are 411 people (61.16%). 199 (29.61%) of the respondents deny that their hospitals have a drug and treatment committee; 60.71% of the respondents said their hospitals monitored the drug use and feedback. Logistic regression analysis revealed that job titles, understanding of essential drugs and participation in rational drug use training were the factors influencing the respondents’ knowledge of rational drug use (P = 0.038, <0.001, 0.008 respectively). Conclusion To improve the reasonable level of medication should pay attention to two-pronged management and education. We should improve the rational use of drug supervision agencies to enhance the rational use of drug knowledge and promote the rational use of drugs; the establishment of treatment or medication guidelines to improve the rational use of medicines; regulate the system to strengthen management, pay attention to education, promote the exchange of doctors and patients to improve medical workers personal knowledge, science Information and medication habits.