Khó khăn trong thực hành kê đơn thuốc và nhu cầu đào tạo về sử dụng thuốc hợp lý an toàn của cán bộ y tế thuộc một số bệnh viện ở miền Bắc, Việt Nam

TCNCYH 65 (6) - 2009

prevalence cf Pterigyum in one eye is 12.9%, and in both eyes is 4.85%. The bilateral aphakia rate is

3.04%, monocular aphakia rate is 2.99%. The cataract surgical coverages are 80.0% (per persons) and

55.2% (per eye). The successful surgical rate is 74.53%. Main barriers for cataract services are

unawareness (29.5%), fear of loosing sight (15.9%) and poverty (11.4%). Conclusion: Main cause of

blindness in Hanoi in 2007 is still cataract. The CSSR is good but the successful surgical rate is not

high. Strategies for blindness prevention are promotion of health education and improvement of surgical

quality to achive the goal "Vision 2020".

Keywords: assessment of blindness, cataract surgical services

KHO KHAN TRONG THL/C HANH KE DON THUOC VA NHU CAU

DAO TAO VE SL/ DUNG THUOC HOP LY AN TOA N CUA CAN BO Y

TE THUOC MOT SO BENH VIEN 5 MIEN BAC, VIET NAM

Hoang Van Minh, Nguyen Tran Thj Giang Hffdng, Vu Thj Vffng,

Kim Bao Giang, Le Thi Hoan, Tran Thanh Tung,

Trddng Dal hgc Y Ha Noi

(J Viet Nam, hldn cdn thieu cic nghien cdu ve mde do khd khan trong qua tnnh ke dan ciia cin bd d

cic tuyen dieu trj khic nhau. Muc tieu: md ti nhdng khd khan chinh trong qui tnnh ke dan cua cic bic sy

thudc mgt sd khoa/don vj tai mdt sd benh vidn cic tuyen d mien Bac Viet Nam vi xic djnh nhu cau dio tao

ctia hg ve cic van de cd lien quan den sd dung thudc hgp ly, an toin. Boi tugng va phuang phap nghien

cdu: md ta dt ngang sd dung phuang phip tu dien phieu thUc hien vdi cic cin bd dieu trj mdt sd khoa/ dan

vi Ndi, Nhi, Lay d 10 benh vien thudc 3 tuyen d mien Bac. Ket qua: khd khan chinh cua cic can bg tuyen

huyen khi thuc hanh ke dan bao gam: thieu thdng tin ve thudc (68,5%o), thieu kie'n thdc dugc lim sing

(47,5%o); thieu xet nghiem ho trg (59%o). Nhu ciu dio tao ve cic vi'n de cd lien quan den sd dung thudc hgp

ly an toin ciia cin bg d tuyen trung uang: 80,0%o; tuyen tlnh 92,4%o; tuyen huyen: 95,2%o. Ket luan: cin bg y

te tuyen huyen gap nhieu khd khan trong qui trinh ke dan vi cd nhu cau cao han ve dao tao sd dung thudc

hgp ly an toin so vdi cin bg y te tuyen dnh vi tuyen trung uang.

Tff khoa: ke ddn, sff dung thudc hdp ly an toan

I DA T VA N D F nhflng cd In h hfldng den sflc khce ca nhin ngfldi

sfl dung bdi hien tfldng tfldng tac thud'c va phln

6 Viet Nam tlnh trang sfl dung thud'c khdng ,jng khdng mong mud'n cua thud'c ma cdn lam

hdp ly - an toln dang II mdt vi n d l dang bao tang nguy cP khang thud'c cung nhfl gay ra tdn

ddng khdng chl trong cdng ddng ma ngay c l d kem cho ban than ngfldi benh va he thd'ng y tl .

c i c Cd sd y tl . Da cd mdt sd bi o cl o dieu tra d l HI U qua cua viec sfl dung khang sinh khdng hpp

cap di n viec sfl dung thud'c khdng hpp ly tai cac |^ da di n den tlnh trang khang thud'c gia tang di n

cd sd y te', nhit la dd'i vdi thud'c khang sinh [1, 2]. rnde bao dpng d cac chung vi khuan gay benh

Sfl dung thud'c khdng hdp ly - an toan khdng thfldng gap [5]. Cd nhieu nguyen nhan cd the di n

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