我院药物咨询工作的实践分析与技能探讨

目的:提高药物咨询的服务质量,促进合理用药。方法:对我院2013年8-11月药物咨询记录进行分析与总结,并结合实际案例对咨询技能作一深入探讨。结果:咨询者中患者及其家属比例为76.9%,医护人员比例为23.1%;咨询方式以药物咨询室和电话咨询居多;咨询内容主要涉及药物用法用量、不良反应、适应证、药物相互作用;咨询药物以抗菌药和心脑血管类药物比例最高;咨询结果的满意比例较高,达85.2%;针对咨询患者的实际情况,有技巧地作出相应回复可有效帮助提高合理用药水平和用药依从性。结论:开展药物咨询是药学服务的重要内容,也是提高药学服务质量的重要环节,同时为医护人员获取较为全面的医药信息提供了平台。注重对药物咨询的实践分析和咨询技能的使用,对提高患者用药依从性、促进合理用药起到了推动作用。

Practice Analysis and Skill Discussion of Drug Counseling Service in Our Hospital

OBJECTIVE： To improve the quality of drug counseling service, and to promote the rational drug use. METH- ODS： The drug counseling records of our hospital during Aug.--Nov. in 2013 were analyzed and summarized. Based on actual counseling case, counseling skills were investigated deeply. RESULTS： Among consultant, the patients and their families account- ed for 76.9%, and physicians and nurses accounted for 23.1% ; the way to counseling included drug counseling room and tele- phone counseling; counseling content mainly involved usage and dosage, ADR, indications, drug interactions; antibiotics and car- diovascular drugs accounted the highest proportion of counseling drugs; satisfactory counseling results took up the high proportion, up to 85.2% ; according to counseling patients and actual situation, corresponding skillful response could effectively help to im- prove compliance of rational use of drug. CONCLUSIONS： To carry out the drug counseling service is an important content of pharmaceutical care, also an important link to improve the quality of pharmaceutical care, and provide a platform for medical per- sonnel gets more comprehensive medical information. Great importance should be attached to drug counseling practice analysis and counseling skills, so as to improve the compliance of patients and promote rational drug use,