中国药业
中國藥業
중국약업
CHINA PHARMACEUTICALS
2014年
14期
74-75,76
,共3页
药学服务%慢性阻塞性肺疾病%依从性%满意度%药学服务路径
藥學服務%慢性阻塞性肺疾病%依從性%滿意度%藥學服務路徑
약학복무%만성조새성폐질병%의종성%만의도%약학복무로경
pharmaceutical care%chronic obstructive pulmonary disease(COPD)
目的：探讨临床药师开展药学服务对老年慢性阻塞性肺疾病（COPD）患者依从性和满意度的影响以及药学服务路径的建立。方法将2012年7月至12月四川大学华西医院呼吸科诊断为 COPD 的96例患者随机分为两组，研究组50例，对照组46例。临床药师对研究组患者开展药学服务、建立药学服务路径表、开展患者教育，药师参与患者治疗方案的制订和修改，全程监控患者用药，防止潜在药品不良反应和药物相互作用，对部分重点患者进行药学随访。对照组患者不开展相应药学干预。结果用药数量依从性方面，研究组为（99.97±1.32）%，明显高于对照组的（94.89±8.68）%（ P ﹤0.05）；时间依从性，研究组为（99.50±2.08）%，明显高于对照组的（94.89±8.68）%（ P ﹤0.05）；研究组的满意度也明显超过了对照组（ P ﹤0.05）。研究组用药差错和药品不良反应发生率明显低于对照组（ P ﹤0.05）。结论通过临床药师开展药学服务，患者的依从性大大改善，无论是用药数量的正确性和用药时间的正确性都明显提高，且患者服务满意度也大大提高。
目的：探討臨床藥師開展藥學服務對老年慢性阻塞性肺疾病（COPD）患者依從性和滿意度的影響以及藥學服務路徑的建立。方法將2012年7月至12月四川大學華西醫院呼吸科診斷為 COPD 的96例患者隨機分為兩組，研究組50例，對照組46例。臨床藥師對研究組患者開展藥學服務、建立藥學服務路徑錶、開展患者教育，藥師參與患者治療方案的製訂和脩改，全程鑑控患者用藥，防止潛在藥品不良反應和藥物相互作用，對部分重點患者進行藥學隨訪。對照組患者不開展相應藥學榦預。結果用藥數量依從性方麵，研究組為（99.97±1.32）%，明顯高于對照組的（94.89±8.68）%（ P ﹤0.05）；時間依從性，研究組為（99.50±2.08）%，明顯高于對照組的（94.89±8.68）%（ P ﹤0.05）；研究組的滿意度也明顯超過瞭對照組（ P ﹤0.05）。研究組用藥差錯和藥品不良反應髮生率明顯低于對照組（ P ﹤0.05）。結論通過臨床藥師開展藥學服務，患者的依從性大大改善，無論是用藥數量的正確性和用藥時間的正確性都明顯提高，且患者服務滿意度也大大提高。
목적：탐토림상약사개전약학복무대노년만성조새성폐질병（COPD）환자의종성화만의도적영향이급약학복무로경적건립。방법장2012년7월지12월사천대학화서의원호흡과진단위 COPD 적96례환자수궤분위량조，연구조50례，대조조46례。림상약사대연구조환자개전약학복무、건립약학복무로경표、개전환자교육，약사삼여환자치료방안적제정화수개，전정감공환자용약，방지잠재약품불량반응화약물상호작용，대부분중점환자진행약학수방。대조조환자불개전상응약학간예。결과용약수량의종성방면，연구조위（99.97±1.32）%，명현고우대조조적（94.89±8.68）%（ P ﹤0.05）；시간의종성，연구조위（99.50±2.08）%，명현고우대조조적（94.89±8.68）%（ P ﹤0.05）；연구조적만의도야명현초과료대조조（ P ﹤0.05）。연구조용약차착화약품불량반응발생솔명현저우대조조（ P ﹤0.05）。결론통과림상약사개전약학복무，환자적의종성대대개선，무론시용약수량적정학성화용약시간적정학성도명현제고，차환자복무만의도야대대제고。
Objective To investigate the effects of the pharmacists conducting the pharmaceutical care on the compliance and satisfaction in old patients of chronic obstructive pulmonary disease(COPD)and the establishment of the pharmaceutical care path. Methods 96 patients with COPD in the respiration department of the West China Hospital from July to December 2012 were redomly divide into 2 groups,50 cases in the research group and 46 cases in the control group. The clinical pharmacists conducted the pharmaceutical care on the research group and established the pharmaceutical care path table,including the patients education,the pharmacists participating in the formulation and modification of the therapy scheme,monitoring the medication in the whole treatment course,prevention and treat-ment of potential drug adverse reactions and drug interactions and conducting the pharmaceutical care on some key patients. The con-trol group did not receive corresponding the pharmaceutical intervention. Results The quantity compliance was(99. 97 ± 1. 32)% in the research group and (94. 89 ± 8. 68)% in the control group( P ﹤ 0. 05). The time compliance was (99. 50 ± 2. 08)% in the re-search group and (94. 89 ± 8. 68)% in the control group( P ﹤ 0. 05). The patient satisfaction in the research group was significantly exceeded that in the control group( P ﹤ 0. 05). Conclusion Clinical pharmacists conducting the pharmaceutical care in old patients with COPD can greatly improve the patient's compliance,significantly increase the correctness of medication quantity and medication time and the patient's satisfaction also greatly increased.
