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临床药师对临床合理用药干预的研究 被引量:33

Pharmacists' Intervention on Rational Drug Use
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摘要 目的:探讨临床药师工作的干预项目和方式,促进其与医师的沟通。方法:选取笔者收集的我院2007年11月临床药师对普外科ICU医师的用药干预及追踪结果记录,按干预项目和干预方式进行统计、分析。结果:临床药师干预的主要项目为药品的用法用量、是否符合适应证、对患者发生的不良反应进行判断,其所占比例分别为36.1%、27.8%、22.2%;干预方式分为及时干预和延迟干预,其医师接受百分率分别为50%~66.7%、90.1%~100%。结论:临床药师对干预内容应有充分的依据和理由,并选择合适的方式与医师进行沟通,可提高医师的接受率。 OBJECTIVE: To explore the components and style of the intervention performed by clinical pharmacists to facilitate communication between pharmacists and physicians. METHODS: The data about clinical pharmacists' medication intervention and the follow- up results on ICU physicians in general surgery department during Nov. in 2007 were collected for statistical analysis with regard to the components and style of the intervention. RESULTS: The components of clinical phar- macists' medication intervention included dosage and administration (36.1% ), whether the drug use was in line with indica- tions (27.8%), assessment on adverse drug reactions (22.2%) . The style of intervention included timely intervention and delayed intervention, and 50%- 66.7% of the timely intervention and 90.1%- 100% of the delayed intervention were ac- cepted by physicians. CONCLUSION : The intervention of clinical pharmacists should be based on sound evidence and reasons, meanwhile, an appropriate style should be adopted in communicating with physicians so as to improve its accepting rate by physicians.
出处 《中国药房》 CAS CSCD 北大核心 2009年第34期2716-2717,共2页 China Pharmacy
关键词 临床药师 干预方式 合理用药 Clinical pharmacist Intervention approach Rational use of drugs
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