基层医院急性冠脉综合征患者药物治疗管理模式的建立
Establishment of a mode for the medication therapy management in patients with acute coronary syndromes in primary hospitals
周新卫 1杜新1
作者信息
- 1. 新泰市人民医院药学部 新泰 271219
- 折叠
摘要
目的:探讨基层医院急性冠脉综合征(ACS)患者药物治疗管理模式的建立及效果评价.方法:结合基层医院现状创建ACS患者药物治疗管理模式.成立医师、药师联合管理团队,制订标准管理流程,对患者进行全程用药管理.比较标准管理模式和传统管理模式下患者关于药物治疗认知、用药依从性、危险因素控制、用药合理性等方面的差异.结果:标准管理模式下的患者药物治疗认知、用药依从性及血压、心率、血脂、血糖等指标达标率均高于传统管理模式患者;除"药物剂量过高"外,其他用药相关问题发生率均低于传统管理模式患者(均P＜0.05).结论:基层医院开展药物治疗管理可提高ACS患者的用药依从性及危险因素达标率,减少不合理用药,建议在基层医院推广.
Abstract
Objective:To explore the establishment and effect evaluation of medication therapy management mode for patients with acute coronary syndrome(ACS)in primary hospitals.Methods:A medication therapy management mode for patients with ACS was created by combining the current situation of primary hospitals.A joint management team of physicians and pharmacists was established to formulate a standard management process so as to manage patients'medication throughout the whole process.The differences between the standard and traditional management modes were compared in terms of patients'cognition of drug treatment,medication compliance,risk factor control,and rationality of medication.Results:The patients'cognition of drug treatment,medication compliance,and compliance rate of blood pressure,heart rate,blood lipids,blood glucose and other indexes were higher.The incidence of medication-related problems with the exception of"overdose"was lower in the standard management mode than the traditional management mode(all P<0.05).Conclusion:Medication therapy management in primary hospitals can improve medication compliance and compliance rate of risk factor in ACS patients and reduce irrational medication use,which is recommended to be promoted in primary hospitals.
关键词
基层医院/急性冠脉综合征/药物治疗管理/药学服务Key words
primary hospital/acute coronary syndrome/medication therapy management/pharmacy service引用本文复制引用
出版年
2024
NETL
NSTL
万方数据