摘要
目的探讨“互联网+药学服务”对某社区儿童用药合理性的影响。方法选取医院2021年2月至2023年2月服务覆盖的31个社区的儿保患儿300例,按随机数字表法分为空白对照组、传统方法对照组和互联网干预组,各100例。空白对照组患儿不实施院外合理用药干预措施,传统方法对照组患儿给予用药知识普及、长期随访等传统药学服务干预,互联网干预组患儿利用互联网进行药学服务干预,均每月随访1次,共随访6个月。比较3组患儿的不合理用药、用药错误、药害事件、药品不良事件发生率,以及用药依从性、安全用药认知能力评分,医疗费用和住院率。结果干预后,互联网干预组、传统方法对照组、空白对照组患儿不合理用药发生率分别为6.00%,18.00%,29.00%,用药错误发生率分别为1.00%,9.00%,16.00%,药品不良事件发生率分别为3.00%,12.00%,19.00%,药害事件发生率分别为4.00%,21.00%,35.00%,用药依从性评分分别为(6.81±1.12)分、(5.89±1.26)分、(4.22±1.54)分,安全用药认知能力评分分别为(8.97±1.01)分、(7.81±1.42)分、(6.43±1.29)分,住院率分别为6.00%,14.00%,22.00%,医疗费用分别为(3645.4±946.3)元、(4837.3±1098.4)元、(6723.4±1988.9)元,组间均有显著差异(P<0.05)。结论“互联网+药学服务”有助于提升社区患儿的用药依从性和安全用药认知能力,减少药源性伤害,节省医疗费用。
Objective To investigate the influence of″Internet+pharmaceutical care″on the rationality of drug use among children in a community.Methods A total of 300 children in 31 communities covered by the hospital from February 2021 to February 2023 were selected and divided into the blank control group,the traditional method control group,and the internet intervention group according to the random number table method,with 100 cases in each group.Children in the blank group did not implement intervention measures for rational drug use outside the hospital.Children in the traditional method control group were given traditional pharmaceutical care intervention such as medication knowledge popularization and long-term follow-up.Children in the Internet intervention group were given the pharmaceutical care intervention through the Internet.All children were followed up once a month for six months.The incidence of irrational drug use,medication errors,drug-induced injury,and adverse drug events,and the medication compliance,cognitive ability scores of safe medication,medical expenses,and hospitalization rates were compared among the three groups.Results After intervention,in the Internet intervention group,traditional method control group,and blank control group,the incidence rates of irrational drug use were 6.00%,18.00%,and 29.00%,respectively;the incidence rates of medication errors were 1.00%,9.00%,and 16.00%,respectively;the incidence rates of adverse drug events were 3.00%,12.00%,and 19.00%,respectively;the incidence rates of drug-induced injury were 4.00%,21.00%,and 35.00%,respectively;the medication compliance scores were(6.81±1.12)points,(5.89±1.26)points,and(4.22±1.54)points,respectively,the cognitive ability scores of safe medication were(8.97±1.01)points,(7.81±1.42)points,and(6.43±1.29)points,respectively;the hospitalization rates were 6.00%,14.00%,and 22.00%,respectively;the medical expenses were CNY(3645.4±946.3),CNY(4837.3±1098.4),and CNY(6723.4±1988.9),respectively,with significant differences among the three groups(P<0.05).Conclusion″Internet+pharmaceutical care″is helpful to improve the medication compliance and safe medication cognitive ability of children in the community,reduce drug-induced injury,and save medical expenses.
作者
王洋
房金静
杨丽炜
白丽淼
张成军
WANG Yang;FANG Jinjing;YANG Liwei;BAI Limiao;ZHANG Chengjun(Xingtai General Hospital,North China Medical and Health Group,Xingtai,Hebei,China 054000)
出处
《中国药业》
CAS
2023年第23期43-46,共4页
China Pharmaceuticals
基金
河北省医学科学研究课题计划[20211808]。
关键词
“互联网+药学服务”
合理用药
用药依从性
社区
儿童
″Internet+pharmaceutical care″
rational drug use
medication compliance
community
children
