儿童患者药物咨询语音用药指导模式的应用研究

目的探讨药品语音二维码标签用于儿童患者用药指导的可行性,降低药物咨询率,保障儿童安全合理用药。方法收集药物咨询问题并进行统计分析,以此为导向,通过活码管理系统开发药品语音二维码标签,选择咨询人次多的药品进行试用并评价。结果 2017年1月—2018年12月期间共收集959例药物咨询问题,电话咨询为主,其中第Ⅱ类咨询问题类型(药物合理使用)>80%。试用药品克拉霉素干混悬剂、布洛芬混悬液、口服补液盐和蒙脱石散使用语音二维码标签的访问率分别为65.53%,58.32%,49.86%和48.44%,使用前后的咨询人次数和咨询率显著降低(P<0.01),语音二维码标签的患者满意度达97.50%。结论基于"互联网+用药指导"模式开发的药品语音二维码标签适用于儿童患者,可行性高,可推广至更多特殊患者人群或其他药品。

Research on Drug Consultation Characteristics and Voice Guidance for Drug Use of Children Patients

OBJECTIVE To investigate the feasibility of voice quick response code for drug use guidance in children,so as to reduce the rate of drug consultation,ensure the rational drug application.METHODS Collected drug consultation questions and conducted statistical analysis.With this as a guide,the voice quick response(QR)labels was developed through the live code management system,and the medicine with more consultations was selected for trial and evaluation.RESULTS From January 2017 to December 2018,a total of 959 drug consultation problems were collected,mostly by telephone.More than 80%of the problems were belong to typeⅡ(rational use of drugs).With the use of voice QR code labels,the access rates of clarithromycin dry suspension,ibuprofen suspension,oral rehydration salts and montmorillonite powder were 65.53%,58.32%,49.86%and 48.44%.The number and rate of drug consultants were decreased significantly(P<0.01).The satisfaction rate of patients with voice QR code labels was 97.50%.CONCLUSION The voice QR code of drug labels based on the“Internet+medication guidance”mode is suitable for children.It is feasible and can be extended to more patients or drugs.