我院不同职业和职称医务人员对药品不良反应认知度调查
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篇名: 我院不同职业和职称医务人员对药品不良反应认知度调查
TITLE:
摘要: 目的:为提高医务人员对药品不良反应(ADR)的认知水平提供参考。方法:对我院不同职称的医师、护士和药师就ADR概念、判断和上报等的认知情况进行问卷调查,并运用统计学方法对调查结果进行处理和分析。结果:共发放问卷452份,回收有效问卷439份,有效回收率为97.12%。对ADR基本概念和产生主要原因的认知正确率,受访药师高于医师和护士,受访医师的高级职称高于中级和初级职称,受访药师的高级职称最高、初级职称最低,差异均有统计学意义(P<0.05);对ADR判断认为有把握的比例,受访护士低于医师和药师,受访医师的高级和中级职称高于初级职称,受访护士的中级职称高于初级职称,受访药师的高级职称高于中级和初级职称,差异均有统计学意义(P<0.05);对ADR上报的各方面认知度,受访药师最高、受访护士最低,差异均有统计学意义(P<0.05),而知道ADR上报时限、上报程序和部门的比例,受访医师和药师的初级职称均低于高级和中级职称,差异亦均有统计学意义(P<0.05);对于漏报ADR的原因,怕引起医疗纠纷而不上报的比例受访医师高于药师和护士,而表示不太了解上报程序、不知道要上报、认为上报可有可无、对ADR鉴定无把握的比例受访护士高于医师和药师,差异均有统计学意义(P<0.05)。结论:不同职业和职称的医务人员对ADR概念、判断和上报的认知情况存在差异,药师相对较好,医师和护士相对较差,尤其是护士,且低职称人员相对较差。有必要根据不同职业和职称对医务人员加强ADR相关知识的教育和培训,并发挥药师的专业优势,优化ADR上报流程,以提高ADR的上报率和上报质量。
ABSTRACT: OBJECTIVE: To provide reference for improving the cognition of medical staff for adverse drug reactions (ADR). METHODS: A questionnaire survey was conducted on the spot among the physicians, nurses and pharmacists with different professional titles in our hospital to investigate their cognition about ADR concept, their judgment for ADR and ADR reporting, and the results were analyzed by statistical methods. RESULTS: Totally 452 questionnaires were sent out, and 439 were effectively received, with effective rate of 97.12%. In terms of correct cognition rate about ADR basic concept and the main reasons, the surveyed pharmacists were higher than physicians and nurses, the senior professional titles of surveyed pharmacists were higher than the intermediate and junior, the pharmacists with senior professional titles were the highest and the junior were the lowest, the differences were statistically significant (P<0.05); in terms of the proportion of certain for ADR judgment, the surveyed nurses were lower than pharmacists and physicians, the surveyed physicians with senior and intermediate professional titles were higher the junior,the surveyed nurses with intermediate titles were higher than the junior, the surveyed pharmacists with senior professional titles were higher than the intermediate and the junior, the differences were statistically significant (P<0.05); in terms of cognition about ADR reporting, the surveyed pharmacists were the highest and the nurses were the lowest, the differences were statistically significant (P<0.05), while in terms of the proportion of knowing ADR reporting timing limit, reporting procedures and departments, the surveyed pharmacists and physicians with junior professional titles were lower than the senior and intermediate, the differences were statistically significant (P<0.05); in terms of reasons for missed ADR reporting, the proportion of consideration of the risk of causing medical disputes for doctors of the surveyed physicians was higher than pharmacists and nurses, while the surveyed nurses showed higher proportion for doing not understand reporting procedures, doing not reporting, thinking ADR reporting was dispensable and uncertain for ADR identification, the differences were statistically significant (P<0.05). CONCLUSIONS: Medical staff with different professional titles and occupations have different cognition about ADR basic concept, judgment and reporting, the pharmacist are relatively good, followed by the physician and nurse, especially the nurse, and the medical staff with junior professional titles are relatively poor. It is necessary to strengthen ADR education and training for them, play professional advantages from the pharmacist and optimize ADR reporting procedures to improve the reporting rate and quality of ADR.
期刊: 2016年第27卷第15期
作者: 范蓓蓓,苟小军,杨晓露,曲虹,夏云
AUTHORS: FAN Beibei,GOU Xiaojun,YANG Xiaolu,QU Hong,XIA Yun
关键字: 药品不良反应;认知度;医务人员;职业;职称;调查
KEYWORDS: ADR; Cognition; Medical staff; Occupation; Professional title; Survey
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