首页|临床药师参与药物治疗的方式对心血管内科疾病患者治疗效果的影响

临床药师参与药物治疗的方式对心血管内科疾病患者治疗效果的影响

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目的 分析临床药师参与药物治疗的方式对心血管内科疾病患者治疗效果的影响.方法 择取2018 年12月至2020年 12月宁强县天津医院开展药物治疗的 100 例心血管内科疾病患者(均为冠心病患者)作为研究对象,以随机数字表法将其分为对照组和观察组,各 50例.对照组采用临床医师参与药物治疗的方式,观察组采用临床医师、临床药师共同参与药物治疗的方式.比较两组的不合理用药现象发生情况、治疗配合度及疗效相关指标.结果 观察组的不合理用药现象总发生率低于对照组,差异具有统计学意义(P<0.05).观察组的服药主动性、服药正确性及药物知识了解程度评分均高于对照组,差异具有统计学意义(P<0.05).干预前,两组的ST段下移程度、心绞痛发作频次、疼痛持续时间、收缩压、舒张压、左心室射血分数(LVEF)、左心室舒张末期内径(LVEDd)及左心室收缩末期内径(LVESd)比较,差异无统计学意义(P>0.05);干预后,观察组的ST段下移程度、心绞痛发作频次、收缩压、舒张压、LVEDd及LVESd低于对照组,疼痛持续时间短于对照组,LVEF高于对照组(P<0.05).结论 临床药师参与药物治疗的方式能够降低心血管内科疾病患者不合理用药现象发生率,提高患者治疗配合度,提升治疗效果,使药物应用方案更加具体、全面、专业.
Effect of clinical pharmacists'participation in drug therapy on the therapeutic effect of patients with cardiovascular medicine department diseases
Objective To analyze the effect of clinical pharmacists'participation in drug therapy on the therapeutic effect of patients with cardiovascular medicine department diseases.Methods A total of 100 patients with cardiovascular medicine department diseases(all patients with coronary heart disease)who were treated with drugs in Ningqiang County Tianjin Hospital from December 2018 to December 2020 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 50 cases in each group.The control group was treated with clinicians participating in drug treatment,and the observation group was treated with clinicians and clinical pharmacists participating in drug treatment.The incidence of irrational drug use,treatment coordination and efficacy related indicators were compared between the two groups.Results The total incidence of irrational drug use in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The scores of medication initiative,medication correctness and drug knowledge understanding in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in the degree of ST segment depression,frequency of angina pectoris,duration of pain,systolic blood pressure,diastolic blood pressure,left ventricular ejection fraction(LVEF),left ventricular end diastolic diameter(LVEDd)and left ventricular end systolic diameter(LVESd)between the two groups(P>0.05);after intervention,the degree of ST segment depression,frequency of angina pectoris,systolic blood pressure,diastolic blood pressure,LVEDd and LVESd in the observation group were lower than those in the control group,the duration of pain was shorter than that in the control group,and the LVEF was higher than that in the control group(P<0.05).Conclusion The participation of clinical pharmacists in drug treatment can reduce the incidence of irrational drug use in patients with cardiovascular medicine department diseases,improve the patients'treatment coordination,promote the treatment effect,and make the drug application plan more specific,comprehensive and professional.

cardiovascular medicine departmentclinical pharmacistdrug therapytreatment coordinationirrational drug use

刘亚军、刘峰、彭敏

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宁强县天津医院药剂科,陕西 汉中,724400

汉中市南郑区疾病预防控制中心,陕西 汉中,723100

汉中市中心医院药剂科,陕西 汉中,723000

心血管内科 临床药师 药物治疗 治疗配合度 不合理用药

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(27)