首页|临床药师参与儿童糖尿病、甲状腺功能亢进症药学服务的探索与实践

临床药师参与儿童糖尿病、甲状腺功能亢进症药学服务的探索与实践

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目的 为了提高儿童门诊患者的用药依从性,探索临床药师参与儿童糖尿病、甲状腺功能亢进症药学服务模式的内容。方法 选取2020年12月至2022年11月镇江市第一人民医院门诊收治的57例糖尿病及甲状腺功能亢进症患儿作为研究对象,临床药师实施6个月的药学服务,记录分析药物相关问题(DRPs),制定个人用药记录表,进行用药教育,并比较干预前后的用药依从性。结果 共处理DRPs261份,其中最多的是"治疗安全性",占比56。32%,其次是"治疗效果",占比22。61%;制作个人药物记录表81份;糖尿病患儿主要使用人胰岛素注射液、精蛋白重组人胰岛素注射液,甲状腺功能亢进症患儿主要使用甲巯咪唑片。干预前患儿用药依从性平均(6。67± 1。23)分,干预6个月后患儿用药依从性平均(7。12±0。73)分,差异有统计学意义(P<0。05)。结论 儿童糖尿病、甲状腺功能亢进症DRPs情况复杂,需加强患儿的用药管理,临床药师提供药学服务对儿童安全用药具有积极的意义。
Exploration and practice of clinical pharmacists participating in pharma-ceutical care for children with diabetes,hyperthyroidism
Objective To improve the medication adherence of children's out-patients,and explore the content of clinical pharmacists'participation in the service mode of children with diabetes and hyperthyroidism.Methods Fifty-seven children with diabetes and hyperthyroidism treated in the outpatient department of Zhenjiang First People's Hospital from December 2020 to November 2022 were selected as the study objects.Clinical pharmacists conducted pharmaceutical care for 6 months,recorded and analyzed drug-related problems(DRPs),developed personal medication records,conducted medication education,and compared medication compliance before and after intervention.Results A total of 261 DRPs were treated,of which the most was"treatment safety",accounting for 56.32%,followed by"treatment effect",accounting for 22.61%.Make 81 personal drug record forms.Diabetic children mainly use Human Insulin Injection,Protamine Recombinant Human Insulin Injection,hyperthyroidism children mainly use Methimazole Tablets.The mean medication compliance of children before intervention was(6.67±1.23)points,and the mean medication compliance of children after intervention was(7.12± 0.73)points,with statistical significance(P<0.05).Conclusion The situation of DRPs in children with diabetes and hyper-thyroidism is complex,and it is necessary to enhance medication management for children.Pharmaceutical care provided by clinical pharmacists has a positive significance for ensuring the safe use of medications.

Pharmaceutical careDrug related problemsChildrenDiabetesHyperthyroidism

王娜、徐丽琴、眭丹娟、洪庆荣

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江苏省镇江市第一人民医院药剂科,江苏镇江 212000

江苏省镇江市第一人民医院儿科,江苏镇江 212000

药学服务 药物相关问题 儿童 糖尿病 甲状腺功能亢进症

江苏省药学会—恒瑞医院药学基金立项课题江苏省药学会—奥赛康医院药学基金立项课题江苏省镇江市社会发展指导性科技计划项目

H202016A202033FZ2022093

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(2)
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