Investigation and analysis on the demands of the community pharmaceutical care for the disabled
-
摘要: 目的 通过调查分析残疾人对社区药学服务（CPC）的需求情况，为社区药师（CP）对残疾人开展药学服务（PC）提供依据，以更加有效保障残疾人用药安全。 方法 设计调查问卷，对虹口区欧阳街道6个居委在册残疾人进行问卷调查和分析。 结果 本次调查的残疾人群主要服用高血压、高脂血症、糖尿病药物；67.3%的被调查者用药依从性不佳；8.0%的被调查者曾服用过过期药品；71.7%的被调查者从未参加过医院、药店或社区的用药知识教育；43.4%的被调查者需要CPC定期培训指导。视力、听力语言、肢体、多重4个类别的残疾人在正确认识药品不良反应（ADR）、自觉症状更坏时是否曾停药、服用过过期药品、CPC定期培训指导等项目的差异有统计学意义（P<0.05）。 结论 残疾人用药存在忽视依从性、安全性等诸多问题，对CPC有较高的需求。对残疾人的CPC目前正处于探索阶段，CP有责任不断努力创新，建立适合残疾人的CPC。Abstract: Objective To provide the basic foundation of pharmaceutical care(PC) for the disabled by community pharmacist (CP) and to ensure the safety of drug use for the disabled by investigating and analyzing the patient's needs for community pharmaceutical care(CPC). Methods A questionnaire was designed to investigate and analyze the disabled patients in 6 resident area at Ouyang street in Hongkou District. Results Most disabled people in this survey were on hypertension, hyperlipidemia and diabetic medications. 67.3% of the responders was poor in drug compliance. 71.7% of the responders never participated in medication education from hospitals, drugstores or other sponsors. 43.4% of the responders needed regular training and guidance from CPC. Four groups of disabled (visual, hearing, speech and limb or multiple disabilities) exhibited a statistical significance in the correctly understanding adverse drug reactions (ADR), deciding medication stop date, using expired drugs, CPC regular training and guidance (P<0.05). Conclusion There are many problems in the medications for the disabled, such as lack of compliance, medication safety issues and so on. A higher standard of CPC for this specific group is needed. The CPC for the disabled is still in the exploration stage and CP should continue to innovate and explore CPC for the disabled.
-
Key words:
- disabled /
- pharmacy care need /
- investigation /
- analysis
-
[1] 王纪明.残疾人概念的文化解读[J].临沂大学学报,2016,38(6):91-96 [2] 徐聪兵.2482名残疾人健康体检结果分析[J].现代预防医学,2014,41(23):4321-4337. [3] 冯志芬,周志红.开封市社区老年残疾人群健康状况和卫生服务需求调查[J].中国老年学杂志,2015,35(12):3402-3404. [4] 陈晔,林俊榜,张晓丹,等.社区药学服务调查报告Ⅱ[J].中国现代应用药学,2015,32(2):220-224. [5] 孙建勋,周秋霞,岳淑梅.我国老年群体慢性病患病状况及药学服务需求调查[J].中国药学杂志,2016,51(2):155-158. [6] 许卫华,王奇,梁伟雄.Morisky问卷测量高血压患者服药依从性的信度和效度评价[J].中国慢性病预防与控制,2007,15(5):424-426. [7] 卞俊,娄月芬,徐向辉,等.提高社区药学服务水平的探索与实践[J].中国药房,2017,28(20):2855-2858. [8] 徐卫平,陶太珍,金海华,等.龙柏社区残疾人群健康状况和卫生服务需求调查分析[J].中国全科医学, 2011,14(14):1622-1625. [9] 傅超,贡庆,虞巧先,等.上海居民对社区药学服务的态度和需求的调查分析[J].中国药房,2013,24(44):4145-4148. [10] 鲁珺,吴跃传,王超.北京某大型社区居民药学服务需求调查与分析[J].药品评价,2012,9(20):18-22. [11] 吴欢云,励晓红,张悠然,等.残疾人健康行为调查分析[J].残疾人研究,2017(4):24-29 [12] 沈美,王忠壮.社区药学服务必要且有旺盛需求[J].药学服务与研究,2015,15(2):141-160. -
点击查看大图
计量
- 文章访问数: 2789
- HTML全文浏览量: 231
- PDF下载量: 395
- 被引次数: 0
下载:
