首页|医药联合门诊在老年患者合理用药管理中的工作模式探讨及成效分析

医药联合门诊在老年患者合理用药管理中的工作模式探讨及成效分析

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目的 介绍南京医科大学第二附属医院老年患者医药联合门诊的工作模式与成效,分析优点与不足,以期为其他药学门诊的建立提供参考.方法 选取 2019 年 7 月至 2022 年 7 月年于该门诊就诊并建立完整随访档案的 680 例患者,统计分析其一般情况、疾病及用药情况、药物治疗相关问题、药学服务内容等.结果680 例患者中 53.82%患有高血压,51.91%患者同时患有 3 种及以上慢性疾病,43.82%患者同时使用 4~6种药物.680 例患者中有 441 例存在 854 个药物治疗问题,平均 1.94 个/人.其中类型最多的是用药依从性问题,占 38.17%.药师干预后患者依从性评分显著提高(P<0.05).结论 药师通过建立医药联合门诊,参与老年患者慢性病药物治疗管理,显著改善患者依从性,提高药物治疗有效性和安全性,进一步促进合理用药.
Exploration and effectiveness analysis of the work mode of a physician-pharmacist joint clinic in the management of rational drug use for elderly patients
Objective To introduce the work mode and effectiveness of the physician-pharmacist joint clinic for elderly patients at the Second Affiliated Hospital of Nanjing Medical University,and analyze its advantages and disadvantages,to provide a reference for the establishment of other pharmaceutical clinics.Methods A total of 680 patients who visited the clinic from July 2019 to July 2022 with established complete follow-up records were statistically analyzed for their general condition,disease and medication status,drug treatment-related issues,pharmaceutical service content,etc.Results Among the 680 patients,53.82%had hypertension,51.91%had three or more chronic diseases at the same time,and 43.82%used 4-6 drugs simultaneously.Among the 680 patients,441 had 854 drug treatment-related issues,with an average of 1.94 issues per person.The most common type of issue was medication compliance,accounting for 38.17%.After pharmacist intervention,the patient's compliance score significantly improved(P<0.05).Conclusion Pharmacists can significantly improve patient compliance,enhance the effectiveness and safety of drug treatment,and further promote rational drug use by establishing a physician-pharmacist joint clinic to participate in the management of chronic disease drug treatment for elderly patients.

Pharmaceutical service modePhysician-pharmacist joint clinicDrug treatment managementMedication compliance

张莉、胡淼、李梦媛、王义俊

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南京医科大学第二附属医院药学部,江苏南京 210011

药学服务模式 医药联合门诊 药物治疗管理 用药依从性

江苏省药学会—奥赛康医院药学基金科研项目

A202005

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(2)
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