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评估咨询环境改变对药师与患者沟通能力的影响:一项病例对照研究。

Evaluation of counseling environmental alteration on pharmacy-patient communication qualifications: A case-control study.

作者信息

Gu Hongyan, Sun Lulu, Jin Rui, Li Fang, Wei Yuanyuan, Xie Zhengzheng

机构信息

Department of Pharmacy, Beijing Shijitan Hospital Affiliated to Capital Medical University, Beijing, China.

出版信息

Medicine (Baltimore). 2016 Dec;95(52):e5738. doi: 10.1097/MD.0000000000005738.

Abstract

The closed pharmaceutical counseling room was so hard to be established for most of hospitals in China since limited space in the out-patient lobby, which dramatically affected the qualification of medication consultant. Few reports studied the importance of closed pharmaceutical counseling room construction.To investigate the necessary of closed pharmaceutical counseling room construction in the outpatient lobby.The closed pharmaceutical counseling room was established and equipped with hospital electronic information system, patient education flashes, and we-Chat in web. We collected the pharmaceutical counseling records before and after counseling room establishment and analyzed the results systematically.After the consulting venue transferred to the closed space, methods adopted by pharmacists in patient educations were diversification. Numbers of counseling people were increasing 4 folds after room establishment and questions were transferred from drug information supply to high professional pharmaceutical relation such as the usage of respiratory devices, drug-drug interaction, and so on.The alterations of consultant space provided a powerful platform on security, properly and suitable of patients' medication usage, keep the medication errors and poor compliance out of the serious consequence, and improve hospital satisfaction. Therefore, it is necessary in outpatient lobby to develop the independent room for medication service.

摘要

由于门诊大厅空间有限,中国大多数医院很难设立封闭的药学咨询室,这极大地影响了用药咨询服务的质量。很少有报告研究封闭药学咨询室建设的重要性。为了调查在门诊大厅建设封闭药学咨询室的必要性,设立了封闭药学咨询室,并配备了医院电子信息系统、患者教育视频以及网络微信。我们收集了咨询室设立前后的药学咨询记录,并对结果进行了系统分析。咨询场所转移到封闭空间后,药师在患者教育中采用的方法更加多样化。咨询室设立后,咨询人数增加了4倍,问题从药物信息提供转向了更高专业性的药学关系,如呼吸设备的使用、药物相互作用等。咨询空间的改变为患者安全、合理、适宜用药提供了有力平台,避免了用药错误和依从性差带来的严重后果,提高了医院满意度。因此,在门诊大厅设立独立的用药服务房间是必要的。

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本文引用的文献

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The debilitating effects of chronic diseases among the oldest old in China.慢性病对中国高龄老人的致残影响。
Maturitas. 2016 Dec;94:39-45. doi: 10.1016/j.maturitas.2016.08.016. Epub 2016 Aug 28.

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