药师在社区开展慢性病管理的切入点及实践体会 点击下载
论文标题: 药师在社区开展慢性病管理的切入点及实践体会
英文标题:
中文摘要: 目的:为药师在社区开展慢性病管理工作提供参考。方法:通过对196人次社区居民慢性病管理工作的总结,同时参考国内外相关社区慢性病管理模式,对药师在社区开展慢性病管理药学服务的切入点进行初步探讨,并通过对患者进行问卷调查评价此模式的效果(5分为最高分)。结果与结论:药师在社区的慢性病管理工作主要切入点包括个人用药记录、药物重整、药物治疗评估及药师干预、慢性病患者的分级管理、远程药学照护等。问卷调查结果表明,患者认为上述药学服务能帮助了解自己所使用药品、协助按时用药、减少药品不良反应的发生、帮助建立正确的用药观念、减少医药花费的评分依次为(4.19±0.67)、(3.90±0.71)、(3.71±0.82)、(4.06±0.51)、(3.21±0.90)分;患者对药学服务的方便性、药师能力、药师态度、病情改善、提高生活质量的接受度评分依次为(3.94±0.70)、(4.39±0.64)、(4.17±0.76)、(3.86±0.71)、(3.90±0.73)分。可见,药师通过以上切入点开展药学服务工作,可以发挥药师在慢性病管理上的积极作用,且患者对此持肯定态度。
英文摘要: OBJECTIVE: To provide reference for pharmacist-led chronic disease management in community. METHODS: Through summarizing 196 times of chronic disease management in community, referring to domestic and foreign community chronic disease management mode, breakpoints of pharmacist-led chronic disease management in community were investigated primarily. The effects of the mode were evaluated by conducting questionnaire survey among patients (5 points the highest points). RESULTS & CONCLUSIONS: The breakthrough points of pharmacist-led chronic disease management work include: personal medication record, medication reconciliation, medication therapy review & interference, classification management of patients with chronic diseases and pharmaceutical telecare. Results of questionnaire survey showed that the influence of above pharmaceutical care on patients included helping understand the drugs,taking medicine on time,reducing adverse drug reaction,establishing correct concept of medication and reducing medical costs,which got scores of (4.19±0.67),(3.90±0.71),(3.71±0.82),(4.06±0.51) and (3.21±0.90), respectively. For convenience of pharmaceutical care,pharmacist ability,pharmacists’attitude,symptom improvement and improvement of the quality of life, the patients gave scores of (3.94±0.70),(4.39±0.64),(4.17±0.76),(3.86±0.71) and (3.90±0.73), respectively. Pharmacists can play a positive role in the management of chronic diseases by carrying out pharmaceutical care through the above breakthrough points, and the patients have a positive attitude towards pharmaceutical care.
期刊: 2018年第29卷第19期
作者: 蒙龙,杨佳丹,宋捷,刘宇,吕立平,罗玲,龙锐,邱峰
英文作者: MENG Long,YANG Jiadan,SONG Jie,LIU Yu,LYU Liping,LUO Ling,LONG Rui,QIU Feng
关键字: 慢性病管理;社区患者;药学服务;个人用药记录;药物重整;远程药学照护
KEYWORDS: Chronic disease management; Community patient; Pharmaceutical care; Personal medication record; Medication reconciliation; Pharmaceutical telecare
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