CAJ | 학술논문

目的：探讨临床药师慢病管理的工作模式。方法：以临床药师为主导的临床医生、护士共同参与的药物治疗团队对96例心内科患者进行慢病管理工作。慢病管理的工作包括住院期间的慢病管理及出院后的随访。入出院时分别对患者进行了用药知识评估，4组评价指标分别为适应证、用法用量、不良反应、注意事项。结果：对比入院时，患者出院时对用药知识的了解明显改善，4组指标P=0.000。疾病越多、年龄越大对药物的了解程度越差，应调整用药教育方式。慢病管理工作可提高药师对医生医嘱的干预比例（比同期重点患者增加90.48%）。结论：临床药师参与慢病管理的模式可明显提高慢病管理效果。
목적：탐토림상약사만병관리적공작모식。방법：이림상약사위주도적림상의생、호사공동삼여적약물치료단대대96례심내과환자진행만병관리공작。만병관리적공작포괄주원기간적만병관리급출원후적수방。입출원시분별대환자진행료용약지식평고，4조평개지표분별위괄응증、용법용량、불량반응、주의사항。결과：대비입원시，환자출원시대용약지식적료해명현개선，4조지표P=0.000。질병월다、년령월대대약물적료해정도월차，응조정용약교육방식。만병관리공작가제고약사대의생의촉적간예비례（비동기중점환자증가90.48%）。결론：림상약사삼여만병관리적모식가명현제고만병관리효과。
Objective:The purpose of this study was to evaluate the work model of clinical pharmacists' management of chronic disease. Methods:The care team led by clinical pharmacist, including doctors and nurses, conducted chronic disease management of 96 cardiovascular patients. Chronic disease management work was consisted of two parts: chronic disease management during hospitalization and follow-up after discharge. At the admission to hospital and discharging from hospital, pharmacists made assessment of patients' knowledge on the drugs they taken. The 4 indices of assessment included indications, usage and dosage, adverse reactions and precautions.Results:Compared with the time of admission to hospital, patients' knowledge of drugs at the time of discharging was signiifcantly improved, respectively(P=0.000). Elder patients and those with more diagnosed diseases tend to have poorer knowledge of drugs, indicating that the education method should be adjusted for those patients specially. And chronic disease management could improve the acceptance rate of clinical pharmacists' intervention(increased by 90.48% compared with the in-hospital patients in the same period without chronic disease management).Conclusion:Clinical pharmacists’ participation in chronic disease management improved clinical effect.