中国临床药学杂志

目的 开展基于微信群的孕产妇和婴幼儿居家用药咨询服务，并分析其实施效果。方法 组建居家用药服务微信线上咨询团队，建立居家药学服务微信群，开展孕产妇和婴幼儿用药咨询服务。收集2023年1至12月的用药咨询记录20 307例，并采用问卷调查的方式对线上咨询的孕产妇和婴幼儿家长开展合理用药认知水平、用药依从性和满意度调查。结果 20 307例用药咨询记录共涉及孕产妇和婴幼儿1 416例，其中妊娠期孕妇864例（占61.02%）、哺乳期产妇148例（占10.45%）和婴幼儿404例（占28.53%）。20 307例用药咨询记录中，占比最高（49.65%）的为婴幼儿相关用药问题咨询。用药问题的咨询发生时间为8:00～17:00的占55.96%。发生时间为17:00～24:00的占29.73%，发生时间为24:00～次日8:00的占14.31%。在妊娠期、哺乳期和婴幼儿用药咨询问题中，占比最高的均为关于发热的治疗，分别占24.18%、20.12%和20.29%。接受居家用药咨询服务3个月后孕产妇和婴幼儿家长的合理用药认知水平及用药依从性显著提高（P<0.05），满意度达100.00%,95.83%的孕产妇和婴幼儿家长认为基于微信群的用药咨询服务非常有助于缓解患病时的焦虑情绪。结论 基于微信群的孕产妇和婴幼儿居家用药咨询服务一定程度上满足了孕产妇和婴幼儿居家用药咨询需求，实时的用药咨询服务能够缓解孕产妇和婴幼儿家长的焦虑情绪，及时提供正确的用药建议。基于微信群的孕产妇和婴幼儿居家用药咨询服务具有较强的可操作性和推广价值。

AIM To explore the practice of using WeChat groups as carriers to provide home medication consultation services for pregnant women and infants and analyze its implementation effectiveness. METHODS An online consultation team for home pharmacy services was established, and the "Xuzhou Perinatal Home Pharmacy Service Group" was formed, through which medication consultation services for pregnant women and infants were regularly conducted. A total of 20 307 medication consultation records from January to December 2023 were collected and analyzed, and a questionnaire survey was conducted on the cognitive level of rational drug use, medication compliance, and satisfaction among pregnant women and parents of infants who had received online consultation regarding rational medication use. RESULTS A total of 20 307 medication consultation records involved a total of 1 416 pregnant women and infants, with 864 cases(61.02%) during pregnancy, 148 cases(10.45%)during lactation, and 404 cases(28.53%) related to infants. Among 20 307 medication consultation records, 49.65% were related to medication consultation for infants, accounting for the highest proportion. Medication consultations were distributed as follows:55.96% occurred between 8:00 and 17:00, 29.73% took place between 17:00 and 24:00, and 14.31% were conducted between 24:00 and 8:00(the next day). In pregnancy, lactation, and infant medication consultations, fever treatment had the highest proportion, accounting for 24.18%, 20.12%, and 20.29% respectively. After receiving home medication consultation services for3 months, the cognitive level of rational drug use and medication compliance of service recipients had significantly improved(P< 0.05), with a satisfaction rate of 100.00%. There was a consensus among 95.83% of service recipients that WeChat group medication consultation services were very helpful in alleviating anxiety during illness. CONCLUSION To a certain extent,the home medication consultation service for pregnant women and infants through WeChat groups has met the needs for home medication consultation of pregnant women and infants. Real-time medication consultation services can alleviate the anxiety of pregnant women and provide timely and correct medication advice. The home medication consultation service for pregnant women and infants based on WeChat groups has strong operability and promotional value.