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目的对影响医务人员上报儿童药物不良反应(ADRs)相关因素进行分析,并探讨解决问题的方法。方法采用调查问卷的方式,就儿童ADRs监测状况的相关问题,对上海市儿童主要就诊医院的医务人员进行调查分析。结果共发放问卷600份,回收有效问卷563份。医务人员掌握ADRs知识较少;学历、职业、ADRs诊断史、填写ADR报告的知晓程度和ADRs知识培训教育情况5个因素与上报ADRs相关;工作职责和自愿报告是促进医务人员上报ADRs的主要因素;不知道ADRs报告程序和诊断有困难,不能确定是否是ADRs是影响医务人员上报儿童ADRs的主要因素;大多数医务人员接受的ADRs培训方式是ADRs专题讲座和发放ADRs的相关资料。结论对大多数医务人员ADRs知识培训和宣传力度不够是影响上报儿童ADRs的主要原因。加强和深入ADRs培训教育工作是做好儿童ADRs监测工作的前提。
Abstract：AIM To investigate correlation factors influencing medical staffs to report adverse drug reactions(ADRs) in children and to find the way to solve the problem. METHODS The questionnaire was distributed to pediatric medical staffs in Shanghai to survey and analyze faults on ADRs supervision in children.RESULTS Totally 600 questionnaires were collected,563 of which were qualified and retrieved.Medical staffs grasped less ADRs knowledge.Five factors were correlated with reporting ADRs,including educational background,occupation,ADRs diagnostic history,degree of awareness to fill in ADRs reprots and whether or not trained about ADRs knowledge.Working responsibility and voluntary reporting were the main factors to encourage the medical staffs to report ADRs.It were the main factors to hinder the medical staffs reporting ADRs that they didn't know ADRs reporting procedure,had much difficulty to diagnose,and were not assured of ADRs.Most medical staffs were going to be trained by the ways of giving lecture and distributing ADRs document.CONCLUSION It is the main reason to hinder medical staffs to report ADRs that they are not given enough propaganda and train on ADRs.It is prerequisite to ameliorate ADRs supervision to strengthen and improve training on the ADRs knowledge.
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基本信息:
DOI：10.19577/j.cnki.issn10074406.2010.04.005
中图分类号:R95
引用信息:
[1]李莉霞,陆晓彤,刘海涛,等.影响医务人员上报儿童药物不良反应的相关因素调查[J].中国临床药学杂志,2010,19(04):212-216.DOI:10.19577/j.cnki.issn10074406.2010.04.005.
基金信息:
上海高校选拔培养优秀青年教师科研专项基金(NO.jdy-07055)
2010-07-25
2010-07-25