首页|基于微信小程序的慢性非传染性疾病患者药学服务模式的构建与应用

基于微信小程序的慢性非传染性疾病患者药学服务模式的构建与应用

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目的 构建基于微信小程序的针对慢性非传染性疾病(简称慢性病)患者居家用药相关的药学服务模式,提高慢性病患者用药的合理性、安全性、及时性。方法 围绕慢性病患者药学服务需求,整合医院药学资源,以IMB(information-motivation-behavioral skills model)模型为理论指导,构建"咨询交流-用药知识科普-疑难问题线上针对性解答整合"的药学服务模式。解决慢性病患者居家用药品种繁杂、用药时机选择不当、用药发生不良反应未能及时判别和对症治疗等诸多问题。结果 药学服务模式由"微信群""微信公众号""微信小程序"3个部分相互串联,于2023年12月底开始实践应用,截止2024年8月完成药物咨询、治疗方案重整、不良反应甄别200余次。干预后,观察组患者的慢性病常用药物相关知识掌握率由干预前的31。6%提升至78。2%,用药行为正确率由干预前的22。0%提升至66。2%,且干预后的提升效果优于对照组(P<0。05),同时统计患者居住地(市/旗县区)个数由7个增加到12个,医院药学服务范围显著提升。结论 该模式投入成本低、操作方便、受众面广泛,患者足不出户即可享受及时、准确的药学服务,确保慢性病患者居家用药的合理性、安全性。
Construction and application of pharmaceutical service model for chronic disease patients based on WeChat mini program
Objective To establish a pharmacy service model related to the home medication of patients with a WeChat mini-program,and improve the rationality,safety and timeliness of medication for chronic diseases patients.Methods Focusing on the pharmaceutical service needs of patients with chronic diseases,we integrated hospital pharmacy resources and constructd a pharmaceutical service model of"consultation and communication-popularization of medication knowledge-targeted online solutions to difficult problems"guided by the IMB(Information-Motivation-Behavioral Skills Model)model.It resolved many problems for chronic patients at home,including the complexity of medication varieties,improper timing of medication,failure to promptly identify adverse drug reactions,and the lack of symptomatic treatment.Results The pharmaceutical service model consists of three parts,namely,"WeChat group","WeChat official account"and"WeChat mini program".It has been put into practice since the end of December 2023.As of August 2024,more than 200 times of drug consultation,treatment plan restructuring and adverse reaction screening have been completed.After the intervention,the knowledge mastery rate of common medications for chronic diseases in the observation group increased from 31.6%before the intervention to 78.2%,and the correct rate of medication behavior increased from 22.0%before the intervention to 66.2%.The improvement effect after the intervention was better than that of the control group(P<0.05).At the same time,the number of patients'residences(cities/counties/districts)increased from 7 to 12,and the scope of hospital pharmaceutical services was significantly improved.Conclusion This model has low investment costs,is easy to operate,and has a wide range of audiences.Patients can enjoy timely and accurate pharmaceutical services without leaving their homes,ensuring the rationality and safety of medication for patients with chronic diseases at home.

Wechat mini programPharmaceutical ServicesLharmacistsIMB theory

张天明、于海艳、马美娜、臧国杰、刘巾玮

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赤峰市医院药剂科,内蒙古自治区赤峰 024000

内蒙古医科大学药学院,内蒙古自治区呼和浩特 010000

微信小程序 药学服务 药剂 IMB理论

2024

中国药物与临床
中国医院协会

中国药物与临床

影响因子:0.846
ISSN:1671-2560
年,卷(期):2024.24(20)