叶秋明,阮仕聪
YE Qiuming,RUAN Shicong

• 1:中山市中医院
• 2:广东药学院

摘要(Abstract)：

目的探讨中药汤剂在小儿社区获得性肺炎中的应用依从性,为中药汤剂在儿科用药监护方面提供合理化的建议。方法本文主要通过现场问卷调查以及调取查阅相关资料的方式,对中山市某医院住院小儿用药依从性的影响因素进行调查分析。结果调查显示汤剂依从性好的有65例(26.00%),依从性差的有185例(74.00%);χ2检验显示:监护人因素、监护情况、患儿因素、药物因素、药学服务因素,均有关联(P<0.05)。结论医院临床方面应全方位提供优质的药学服务,改进汤剂的给药的便利性和顺应性,加强对患儿家长对用药方面的引导和教育,提高对汤剂用药的依从性。
OBJECTIVE To study medication adherence to traditional Chinese medicine decoction for pediatric patients with community-acquired pneumonia,so as to provide reasonable suggestions in the pediatric drug monitoring. METHODS The relating factors influencing on medication compliance of the children was analyzed through questionnaire survey in a hospital in Zhongshan.RESULTS Among the 250 surveyed subjects,65( 26.00%) seems to be of good compliance,while the other 185( 74.00%) of poor compliance. Chi-Square test showed that: statistical significance( P<0.05) was found on subjects' compliance,caused by the guardian factors,monitoring situation,children factors,drug factors,pharmacy service factors. CONCLUSION The hospital should provide a full range of high quality pharmaceutical care in the clinical aspects,improved decoction administration convenience and compliance,strengthen the guidance and education on drug use to parents of children,and improve adherence to medication decoction.

关键词(KeyWords)： 儿科;社区获得性肺炎;汤剂;依从性;药学服务
department of pediatrics;community-acquired pneumonia(CAP);decoction;compliance;pharmaceutical care

Abstract:

Keywords:

基金项目(Foundation): 中山市卫生局医学科研立项课题(2013J087)

作者(Author): 叶秋明,阮仕聪
YE Qiuming,RUAN Shicong

参考文献(References)：

• [1]周捷.退热汤治疗社区获得性肺炎临床研究[J].中国医学报,2012,27(165):146-147.
• [2]范娟,蒋虹,陈昌辉.3个月以上婴儿和儿童社区获得性肺炎的管理指南简介[J].中华实用儿科临床杂志,2013,28(4):318-320.
• [3]汪受传,赵霞,韩新民,等.小儿肺炎喘嗽中医诊疗指南[J].中医儿科杂志,2008,4(3):1-3.
• [4]任艳丽.对患者用药依从性调查分析[J].中国药物应用与监测,2004,03:12-14.
• [5]姚雪梅,姚群惠,黄黎彦.儿童用药依从性差的原因调查及干预方法[J].临床合理用药杂志,2013,12(6):62-63.
• [6]高向波,黄云,王玉梅,等.儿童用药不依从的因素及对策[J].儿科药学杂志:2005,11(2):34-35.
• [9]赵莉,李文.Drug compliance influence factors and countermeasure of hypertension patients[J].中国临床康复,2003,7(3):509.
• [10]吴元俊,张振兴.家长对哮喘患儿治疗依从性的影响[J].江苏医药,2013,39(13):1593-1594.
• [11]陈冶.医患沟通技能对阻生智齿冠周炎患者治疗依从性的影响[J].中国美容医学,2013,22(23):2317-2318.
• [12]张明园.医患沟通与患者对治疗的依从性[J].中华精神科杂志,2008,41(2):111.
• [13]沈爱宗.高血压、糖尿病和冠心病患者用药依从性研究[D].安徽:安徽医科大学,2005
• [14]武谦虎,凌美.门诊患者服用中药煎剂的依从性调查分析[J].医药导报,2010,29(3):388-390.
• [15]庞昌生.结合儿童生理特点探讨儿科用药的合理性[J].药事组织,2011,20(22):60.