首页|基层医院临床药师对心血管慢病患者实施入院药物重整的实践与分析

基层医院临床药师对心血管慢病患者实施入院药物重整的实践与分析

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目的 通过临床药师对心血管慢病患者实施入院药物重整实践,分析临床药师药物重整服务对于心血管慢病人群在用药安全性和依从性等方面发挥的作用.方法 对某基层医院2022 年 1 月至 12 月入院的心血管慢病患者进行药物重整,对24 小时内用药医嘱的连续性及合理性进行审核,将医嘱中存在的问题及干预结果进行汇总和分析.结果 共有154 例患者纳入研究,年龄23~84 岁,平均年龄(65.2±11.5)岁;患者合并病种1~10 种,平均(4.6±1.9)种;患者入院前服用西药1~11 种,平均(3.9±2.4)种;在药物重整服务中共发现41 个药物相关问题,分析原因药物选择占 58.5%,剂量选择占36.6%,患者相关占4.9%;24 小时内医嘱需要干预的患者占21.43%,需要干预的医嘱条数占3.2%,临床药师干预成功率为95.12%.结论 心血管患者中老年患者居多,合并疾病多、服药种类多,临床药师对心血管慢病患者实施入院药物重整,发现潜在药物相关问题,协助医师优化了治疗方案,提高了心血管慢病患者用药安全性和依从性,可以作为基层医院的常规工作开展.
Practice and analysis of clinical pharmacists'drug reorganization for patients with chronic cardiovascular diseases in pri-mary hospitals
Objective Through the practice of clinical pharmacists'drug reorganization for patients with chronic cardiovascular diseases,this paper analyzes the role of clinical pharmacists'drug reorganization service for patients with chronic cardiovascular dis-eases in drug safety and compliance.Methods The patients with chronic cardiovascular diseases admitted to a primary hospital from January to December,2022 were reorganized,and the continuity and rationality of medication orders within 24hours were reviewed,and the problems existing in the orders and the intervention results were summarized and analyzed.Results A total of 154 patients,aged from 23 to84(65.2±11.5)years,were enrolled in the study;patients with1~10 kinds of diseases,with an average of(4.6±1.9)kinds;the patients took 1~11 kinds of western medicines before admission,with an average of(3.9±2.4)kinds.A total of 41 DRPs were found in drug reorganization service,and the reasons were analyzed.Drug selection accounted for 58.5%,dosage selection accounted for 36.6%,and patient-related accounted for 4.9%.Within 24hours,21.43%of patients needed medical intervention,3.2%needed medical advice,and the success rate of clinical pharmacists'intervention was 95.12%.Conclusion Cardiovascular patients are mostly elderly patients,with many complications and many kinds of medication.Clinical pharmacists carry out drug reor-ganization for patients with chronic cardiovascular diseases,find potential drug-related problems,help doctors optimize treatment plans,and improve the safety and compliance of medication for patients with chronic cardiovascular diseases,which can be carried out as routine work in primary hospitals.

clinical pharmacistdrug reorganizationcardiovascular diseasechronic illness

李晓娟、李献周

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唐山市丰南区医院药剂科 063300

唐山市第五医院药剂科 063300

临床药师 药物重整 心血管 慢性病

2024

中国老年保健医学
中国老年保健医学研究会

中国老年保健医学

影响因子:0.637
ISSN:1672-4860
年,卷(期):2024.22(1)
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