Page 119 - 《中国药房》2022年24期

儿科专科药师用药交代标准化培训体系的构建
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陈灿辉 ，闫美兴 ，孙书娟 ，王晓玲 ，曲素欣 （1. 青岛大学附属青岛妇女儿童医院药剂科，山东 青岛
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266000；2.国家儿童医学中心/首都医科大学附属北京儿童医院药学部，北京 100045）
中图分类号 R952 文献标志码 A 文章编号 1001-0408（2022）24-3053-06
DOI 10.6039/j.issn.1001-0408.2022.24.22

摘 要 目的 探索建立儿科专科药师用药交代标准化培训体系。方法 基于问卷形式调研当前儿科药师和患儿家长对儿童用药
交代的需求性，并参考调研结果与说明书、数据库等文献资料构建儿科用药交代标准化培训内容。从药物名称、用法用量等药物
基本信息及用药疗程、用药顺序、特殊注意事项等整合归纳用药交代的基本知识，形成培训内容的总论；并按照“以病带药”的原
则，针对儿童多种常见疾病构建治疗药物的用药交代标准化框架，形成培训内容的各论。同时对青岛大学附属青岛妇女儿童医院
药师展开试点培训，并对培训效果进行初步考核评价。结果 该院药师经过标准化培训后，其日常考试成绩较培训前显著提高，并
在窗口服务中突破了“0”次收获患儿家长感谢信的局面，且窗口有效评价满意率呈上升趋势，药师引导患儿家长“回去找医师”咨
询如何使用药物的次数呈下降趋势。结论 系统的儿科专科药师用药交代标准化培训体系的建立和实施有助于进一步提高药师
的专业技能和职业素养，可明显加强窗口用药交代的标准化，提升患儿的就医获得感。
关键词 儿科药师；用药交代；标准化体系；培训内容；试点培训；考核评价

Construction of standardized training system for medication direction provided by pediatric pharmacists
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CHEN Canhui ，YAN Meixing ，SUN Shujuan ，WANG Xiaoling ，QU Suxin（1. Dept. of Pharmacy， Qingdao
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Women and Children’s Hospital of Qingdao University， Shandong Qingdao 266000， China；2. National Center
for Children’s Health/Dept. of Pharmacy， Beijing Children’s Hospital Affiliated to Capital Medical University，
Beijing 100045， China）
ABSTRACT OBJECTIVE To explore the establishment of standardized training system for medication direction provided by
pediatric pharmacists. METHODS Based on the questionnaire， the current needs of pediatric pharmacists and parents of children
for medication direction were investigated， and the standardized training content of pediatric medication direction was constructed
as a whole with reference to the survey results， instructions， databases and other literature. The basic knowledge of medication
direction was integrated and summarized from the basic information of drugs such as drug name， usage and dosage， as well as the
course of treatment， order of medication and special precautions， so as to form the general introduction of training content. In
accordance with the principle of “integrated drug classification based on diseases”， a standardized framework of medication
direction for various common diseases in children was constructed to form various theories of training content. Concomitantly， the
pilot training of pharmacists in Qingdao Women and Children’s Hospital of Qingdao University was carried out， and the training
effect was preliminarily evaluated. RESULTS After standardized training， the daily examination scores of pharmacists in this
hospital were significantly higher than those before training， and the situation of ‘0’ times of receiving patients’ thank-you letters
in the window service was broken through； the effective satisfaction rate of window service showed an increasing trend； after the
pharmacist explained the medication to the patient， the times of patient returning to consult the doctor on how to use the medicine
showed downward trend. CONCLUSIONS The establishment and implementation of a systematic standardized training system for
pediatric-specialist pharmacists can help to further improve the professional skills and professionalism of pharmacists， strengthen the
standardization of window medication direction and enhance patients’ sense of gain.
KEYWORDS pediatric pharmacist； medication direction； standardization system； training content； pilot training； performance
evaluation

Δ 基金项目 首都医科大学附属北京儿童医院资助项目（No. 用药交代是处方调剂中药师有效指导患儿合理用
YGLZ202001）
药的第一环节，药师作为这一环节的主体人员需要有较
＊第一作者 药师，硕士。研究方向：中药物质基础研究、医院药
学。E-mail：Canhuich@126.com 强的专业素养来应对药品交付过程中关于患儿用药的
各种疑问。同时，由于儿童用药的特殊性及患儿家长对
# 通信作者 主任药师。研究方向：医院药学、药事管理。E-mail：
qusuxin@126.com 儿童用药存在认知差异，贴标签或用药指导单的形式不

中国药房 2022年第33卷第24期 China Pharmacy 2022 Vol. 33 No. 24 · 3053 ·