Investigation and analysis on the demands of the community pharmaceutical care for the disabled
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摘要: 目的 通过调查分析残疾人对社区药学服务（CPC）的需求情况，为社区药师（CP）对残疾人开展药学服务（PC）提供依据，以更加有效保障残疾人用药安全。 方法 设计调查问卷，对虹口区欧阳街道6个居委在册残疾人进行问卷调查和分析。 结果 本次调查的残疾人群主要服用高血压、高脂血症、糖尿病药物；67.3%的被调查者用药依从性不佳；8.0%的被调查者曾服用过过期药品；71.7%的被调查者从未参加过医院、药店或社区的用药知识教育；43.4%的被调查者需要CPC定期培训指导。视力、听力语言、肢体、多重4个类别的残疾人在正确认识药品不良反应（ADR）、自觉症状更坏时是否曾停药、服用过过期药品、CPC定期培训指导等项目的差异有统计学意义（P<0.05）。 结论 残疾人用药存在忽视依从性、安全性等诸多问题，对CPC有较高的需求。对残疾人的CPC目前正处于探索阶段，CP有责任不断努力创新，建立适合残疾人的CPC。Abstract: Objective To provide the basic foundation of pharmaceutical care(PC) for the disabled by community pharmacist (CP) and to ensure the safety of drug use for the disabled by investigating and analyzing the patient's needs for community pharmaceutical care(CPC). Methods A questionnaire was designed to investigate and analyze the disabled patients in 6 resident area at Ouyang street in Hongkou District. Results Most disabled people in this survey were on hypertension, hyperlipidemia and diabetic medications. 67.3% of the responders was poor in drug compliance. 71.7% of the responders never participated in medication education from hospitals, drugstores or other sponsors. 43.4% of the responders needed regular training and guidance from CPC. Four groups of disabled (visual, hearing, speech and limb or multiple disabilities) exhibited a statistical significance in the correctly understanding adverse drug reactions (ADR), deciding medication stop date, using expired drugs, CPC regular training and guidance (P<0.05). Conclusion There are many problems in the medications for the disabled, such as lack of compliance, medication safety issues and so on. A higher standard of CPC for this specific group is needed. The CPC for the disabled is still in the exploration stage and CP should continue to innovate and explore CPC for the disabled.
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Key words:
- disabled /
- pharmacy care need /
- investigation /
- analysis
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