中国药物警戒 ›› 2020, Vol. 17 ›› Issue (10): 697-702.
DOI: 10.19803/j.1672-8629.2020.10.10

• 安全与合理用药 • 上一篇    下一篇

我国医务人员药物滥用监测认知调查

王成岗1, 黄元2, 吴世福2,*, 王玲3, 田月洁2, 吴晨3, 王晓骏2   

  1. 1山东中医药大学,山东 济南 250355;
    2山东省药品不良反应监测中心,山东 济南 250014;
    3国家药品监督管理局药品评价中心,北京100022
  • 收稿日期:2020-10-14 修回日期:2020-10-14 出版日期:2020-10-15 发布日期:2020-10-13
  • 通讯作者: *吴世福,男,主任药师,药品不良反应监测。E-mail：wushifu@shandong.cn
  • 作者简介:王成岗,男,博士,副教授,药物流行病学。
  • 基金资助:
    国家药品监督管理局药品评价中心课题（20203X001）：医疗机构药物滥用监测模式研究

Survey about Medical Staff's Knowledge of Drug Abuse Monitoring in China

WANG Chenggang1, HUANG Yuan2, WU Shifu2,*, WANG Ling3, TIAN Yuejie2, WU Chen3, WANG Xiaojun2   

  1. 1Shandong University of Traditional Chinese Medicine, Jinan Shandong 250355, China;
    2Shandong Center for Adverse Drug Reaction Monitoring, Jinan Shandong 250014,China;
    3Center for Drug Reevaluation, NMPA,Beijing 100022, China
  • Received:2020-10-14 Revised:2020-10-14 Online:2020-10-15 Published:2020-10-13

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摘要： 目的 了解药物滥用监测认知度和药物滥用情况,为在全国开展医疗机构药物滥用监测工作奠定基础。方法 采取随机抽样方法抽取样本省,选择综合医院、精神专科和肿瘤专科医院的医务人员为调查对象,调查药物滥用监测认知度及药物滥用情况。结果 共调查12省61所医疗机构358名医务人员,对药物滥用定义的了解比例为84.6%,对药物滥用监测定义、药物依赖和药物滥用诊断标准的了解比例在60%~67%之间,还有约10%的医务人员对药物滥用和药物滥用监测定义的了解有偏差。仅有约50%的医务人员能正确判断会产生药物依赖的药物。在工作中遇到麻醉药品、精神药品滥用及吸毒过量的医务人员比例分别为18.9%、31.9%和9.0%。结论 在开展医疗机构药物滥用监测工作时,针对相关定义、诊断标准及产生依赖的药物,需要对参与监测工作的相关人员进行统一培训。急诊科、肿瘤科、精神科和心理科应优先选为医疗机构药物滥用监测的哨点。

关键词: 药物滥用, 监测, 医务人员, 认知

Abstract: Objective To find out about how much health care providers know about drug abuse monitoring in order to provide basic information for drug abuse monitoring in medical institutions. Methods A random sampling method was employed to investigate the amount of knowledge of drug abuse monitoring and the status quo with drug abuse. Health care providers from comprehensive hospitals, mental hospitals and cancer hospitals in 12 provinces in China were enrolled in this survey. Results Data collected from 358 health care providers (in 61 medical institutions) was analyzed. The results showed that 84.6% of the health care providers knew something about drug abuse. 60%-67% of them had some knowledge of drug abuse monitoring, drug dependence as well as the diagnostic standards for drug abuse. However, 10% of them interpreted drug abuse and drug abuse monitoring differently from the National Medical Products Administration. Only 50% of these health care providers had a clear idea about the drugs that could cause drug dependence. The percentage of health care providers who had encountered narcotic drugs abuse, mental drug abuse and drug overdose was 18.9%, 31.9%, and 9.0%, respectively. Conclusion When medical institutions start drug abuse monitoring, it is advisable to give the personnel concerned some training regarding the related concepts, diagnostic standards and drugs which could cause dependence. The departments of emergency, oncology, psychiatry and psychology should be the focus of monitoring.

Key words: drug abuse, monitoring, health care providers, amount of knowledge

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