中国医院用药评价与分析
中國醫院用藥評價與分析
중국의원용약평개여분석
Evaluation and Analysis of Drug-Use in Hospitals of China
2015年
11期
1519-1520,1521
,共3页
精神障碍%药疗%处方点评%药学监护
精神障礙%藥療%處方點評%藥學鑑護
정신장애%약료%처방점평%약학감호
Mental disorders%Medication%Prescription review%Pharmaceutical care
目的：探讨精神病专科医院临床药师对精神障碍患者实施药学监护的必要性。方法：结合某精神病专科医院2014年所有出院患者的医嘱点评结果，对其中43份不合理用药医嘱进行分析。结果：不合理用药医嘱涉及偏执型精神分裂症、焦虑障碍、癫痫等患者。临床药师可通过查阅患者的医嘱用药信息，依据药动学和药效学在药物品种选择、给药途径、给药方法、给药剂量和疗程等方面给予临床医师建议，同时可对患者的用药过程进行监测，发现、防止和解决与用药有关的问题，保障患者安全、有效、经济用药。结论：应积极倡导“以患者为中心”的药学服务理念，深入推进精神病专科医院临床药师制建设，临床药师有必要深入临床开展药学监护工作。
目的：探討精神病專科醫院臨床藥師對精神障礙患者實施藥學鑑護的必要性。方法：結閤某精神病專科醫院2014年所有齣院患者的醫囑點評結果，對其中43份不閤理用藥醫囑進行分析。結果：不閤理用藥醫囑涉及偏執型精神分裂癥、焦慮障礙、癲癇等患者。臨床藥師可通過查閱患者的醫囑用藥信息，依據藥動學和藥效學在藥物品種選擇、給藥途徑、給藥方法、給藥劑量和療程等方麵給予臨床醫師建議，同時可對患者的用藥過程進行鑑測，髮現、防止和解決與用藥有關的問題，保障患者安全、有效、經濟用藥。結論：應積極倡導“以患者為中心”的藥學服務理唸，深入推進精神病專科醫院臨床藥師製建設，臨床藥師有必要深入臨床開展藥學鑑護工作。
목적：탐토정신병전과의원림상약사대정신장애환자실시약학감호적필요성。방법：결합모정신병전과의원2014년소유출원환자적의촉점평결과，대기중43빈불합리용약의촉진행분석。결과：불합리용약의촉섭급편집형정신분렬증、초필장애、전간등환자。림상약사가통과사열환자적의촉용약신식，의거약동학화약효학재약물품충선택、급약도경、급약방법、급약제량화료정등방면급여림상의사건의，동시가대환자적용약과정진행감측，발현、방지화해결여용약유관적문제，보장환자안전、유효、경제용약。결론：응적겁창도“이환자위중심”적약학복무이념，심입추진정신병전과의원림상약사제건설，림상약사유필요심입림상개전약학감호공작。
OBJECTIVE:To probe into the necessity of implementation of pharmaceutical care in patients with mental disorders by the clinical pharmacists in the psychiatric hospital .METHODS: 43 cases of irrational medical orders were analyzed combined with the medical order reviews from all discharged patients in a certain psychiatric hospital in 2014.RESULTS: The irrational medical orders involved patients like paranoia schizophrenia , anxious disorder and epilepsy , etc.Through reference of the medication information of patients and suggestions that given to the clinician based on the selection of drug categories , route of administration , method of administration , dosage of administration and treatment course , the clinical pharmacists could monitor the administration process of patients and then find out , prevent and solve the related problems , so as to guarantee the safe , effective and economic medication in patients .CONCLUSIONS:It is necessary to actively advocate the pharmaceutical service concept of “taking patients as the center”, further contribute the construction of clinical pharmacists system in the psychiatric hospital , and the clinical pharmacists should develop pharmaceutical care in in-depth clinic .
