摘要
目的通过应用药学门诊服务模式,探究多重用药老年慢病患者药物相关问题现状。方法选取2021年2月1日-6月30日于我院药学门诊接受药学服务的老年患者,收集信息,评估药物治疗问题,提供干预后记录,并于首次就诊30 d后进行随访。结果共纳入48名老年患者,发现276个药物相关问题;提供202条干预措施,其中175条得到接受并实施,最终解决了118个药物相关问题。干预后患者的用药依从性、生活质量均得到显著提高,高血压患者的收缩压也有所降低。结论门诊老年患者普遍存在药物相关问题,药学服务有利于改善该人群的药物治疗和疾病控制。
Objective To explore the situation of drug-related problems(DRPs)in chronic elderly patients with polypharmacy through the application of a pharmacist-delivered service model.Methods Elderly patients receiving polypharmacy between February 1,2021 and June 30,2021 in a pharmacist outpatient clinic were enrolled.Information was collected,drug-related problems were assessed,intervention was provided,and follow-up was performed 30 days after the first visit.Results Totally 48 elderly patients received pharmacist-delivered service,with a total of 276 drug-related problems identified,202 intervention provided,of which 175 were accepted and implemented,and finally 118 drug-related problems were solved.After intervention,patients′medication compliance and quality of life were improved,and systolic blood pressure(SBP)in patients with hypertension was reduced.Conclusion DRPs are common in elderly patients in outpatient clinics.Pharmacist-delivered service is beneficial to the improvement of drug therapy and disease control in these patients.
作者
张瑞雪
刘清扬
王海莲
苏甦
曾艳
唐静
沈江华
张青霞
褚燕琦
闫素英
白向荣
ZHANG Rui-xue;LIU Qing-yang;WANG Hai-lian;SU Su;ZENG Yan;TANG Jing;SHEN Jiang-hua;ZHANG Qing-xia;CHU Yan-qi;YAN Su-ying;BAI Xiang-rong(Department of Pharmacy,Xuanwu Hospital of Capital Medical University,National Clinical Research Center for Geriatric Disorders,Beijing 100053,China;School of Pharmaceutical Sciences,Capital Medical University,Beijing 100069,China;National Clinical Research Center for Geriatric Disorders,Beijing 100053,China)
出处
《实用药物与临床》
CAS
2022年第7期630-634,共5页
Practical Pharmacy and Clinical Remedies
基金
北京市科学技术委员会课题老年人多重用药管理模式的建立与临床应用研究(D181100000218002)
北京市卫生和计划生育委员会“老年重大疾病关键技术研究”(PXM2018_026283_000002)
北京市属医院科研培育项目(PX2020038)。
关键词
药学服务
多重用药
药物相关问题
老年人
慢病管理
Pharmaceutical service
Polypharmacy
Drug-related problems
Elderly
Chronic disease management
