儿童分剂量药学门诊服务模式构建与实践

    Mode and Practice of Manipulation in Pharmacist-managed Clinics for Pediatric

    • 摘要:
      目的  探索儿童分剂量药学门诊服务模式,规范服务内容。
      方法 建立儿童分剂量药学门诊服务模式和分剂量药学门诊的工作制度。收集2023年11月—2024年10月分剂量药学门诊就诊患儿病例,分析分剂量药品品种、药品剂型、分剂量药品规格、分剂量药品数量及就诊次数。
      结果 调查分剂量药学门诊挂号(每次21元)就诊人次共269例。分剂量药品品种共24种,排名前3的药品分别为熊去氧胆酸(占比32.66%)、美托洛尔(12.79%)和氯硝西泮(10.10%);最常分剂量剂型和极性分别为片剂(90.57%)和脂溶性药品(94.95%);分剂量药品规格主要是1/5~1/10(45.12%),单次就诊分剂量药品数量主要为1种(91.08%),有一半患儿分剂量药学门诊就诊次数>1。
      结论 处方分剂量在儿科临床具有较大的需求。规范化、标准化儿童分剂量药学门诊服务内容和服务流程,对提高儿童用药安全性、有效性和依从性,降低药品浪费和不良反应发生率具有重要意义。

       

      Abstract:
      OBJECTIVE  To explore the mode of manipulation in pharmacist-managed clinics(PMC) for pediatric, standardize service content.
      METHODS  Established the service model and working system for manipulation in PMC for pediatric. Collecting cases of children who visited the manipulation in PMC from November 2023 to October 2024, analyzed the types, dosage forms, specifications, quantity of manipulated drugs and the number of visits for PMC.
      RESULTS There were a total of 269 registered visits to the PMC(21 yuan per visit). There were a total of 24 types of manipulated drugs, with the top 3 drugs being ursodeoxycholic acid(32.66%), metoprolol(12.79%), and clonazepam(10.10%). The most common dosage forms and formulations were tablets(90.57%) and liposolubility drugs(94.95%), respectively. The specifications of manipulated drugs mainly ranged from 1/5 to 1/10(45.12%), and the number of manipulated drugs in a single visit was mainly one(91.08%). Half of the pediatric patients had visited the manipulation in PMC more than once.
      CONCLUSION Manipulation are extremely common and in high demand in pediatric clinical practice. Standardizing the service content and process of manipulation of PMC for pediatric is of great significance for improving the safety, effectiveness, and compliance of pediatric medication, reducing drug waste and adverse reaction rates.

       

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