049_处方合理性与合理用药指标间的关系分析.doc

处方合理性与合理用药指标间的关系分析 杨敏1，曾颖1 ，骆福添2 1.广东省人民医院药学部 510080 2.中山大学公共卫生学院 510080 【摘要】 目的：对省医门诊处方的合理用药情况进行调查，分析处方合理性与合理用药指标间的关系。方法：应用流行病学调查的方法，根据调查目的编制调查表，进行现场问卷调查，除进行一般性描述分析外，对部分调查指标与调查对象基本情况进行因素分析,并对处方合理性进行多因素logestic回归分析。结果：平均药品费用为131.45元，平均用药品种数为2.67种，抗生素的使用率占所有药品的32.1%，实际调配药物率为99.3%，患者了解正确用药率为73.8%，用药不合理的处方占6.9％，主要是抗生素、激素的使用及药物联合使用不当。各科室间使用针剂数、通用名使用数无统计学意义（p0.05））））the relationship between prescription rationality and Rational Use of Drug Index Yangmin1, Zengying1, Luo Futian2; 1.Pharmacy Department of Guangdong Provincial People’s Hosptial, 510080 , 2.The School of Public Health of Sun Yat-sen University, 510080 ABSTRACT：OBJECTIVE To investigate the outpatient current drug use in Guangdong Provincial People’s Hospital, which may make us know the difference between International Indicator and ours, and the relation between rational drug use and varied factors, and the problems in outpatient drug use were analyzed, so as to adopting appropriate interventions and strategies. METHOD Three hundred outpatients in our hospital were sampled randomly during special periods from February to April in 2005. The data were collected on a designed investigate form, which include prescription, patient care and self-setting indicators, and were obtained by on-spot-investigate. The data were analyzed by SPSS10.0. Chi-square test was used to analyze count data ，analysis of variance was used to analyze measurement data, and logistic regression was used to analyze relation factors. RESULT The average number of drugs per encounters was 2.67the percentage of encounters with an antibiotic prescribed was 32.1%， average dispending time was 7.8min，percentage of drugs actually dispensed was 99.3%，patients’ knowledge of correct dosage was 73.8％；average drug expenditure was 131.45 Yuan, the percentage of irrational prescription was 6.9％ . And the drug expenditure, antibiotic consume and the departments attended by patients are closely relate to the rational of the prescription. CONCLUSION The use o