社区药剂师对多学科心力衰竭护理的看法:一项探索性定性研究
Willem Raat1, Pauline Truyts2, Justine Gaillaert2
1Department of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 7, blok D bus 7001 3000, Leuven, Belgium. willem.raat@kuleuven.be.
BMC health services research
|June 14, 2023
概括
比利时的社区药剂师认为他们在心力衰竭 (HF) 管理中发挥着至关重要的作用,但面临诊断不确定性和沟通不良等障碍. 建议改善电子健康记录和专业间的关系,以获得更好的HF护理.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 心力衰竭 (HF) 需要根据指导方针进行多学科管理.
- 药剂师是医院和社区环境中心力衰竭护理团队的组成部分.
- 这项研究调查了社区药剂师对他们在HF管理中的作用的观点.
研究的目的:
- 探索社区药剂师对他们参与心力衰竭 (HF) 护理的看法.
- 识别社区药剂师在HF管理中的感知角色,资产和障碍.
- 从药剂师的角度来看,了解基于社区的HF护理中多学科合作的动态.
主要方法:
- 一项定性研究,涉及13名比利时社区药剂师的面对面半结构化访谈.
- 采访是在2020年9月至2020年12月期间进行的.
- 数据分析遵循了卢文定性分析指南 (QUAGOL) 方法,使用主题矩阵直到数据和.
主要成果:
- 药剂师承认对药理和非药理HF管理的责任,利用可访问性和专业知识.
- 主要障碍包括诊断不确定性,知识差距,时间限制,疾病复杂性以及与患者和护理人员的沟通挑战.
- 一般医生是关键的合作伙伴,但药剂师报告的问题有赞赏,合作和沟通.
结论:
- 比利时社区药剂师肯定了他们在多学科心力衰竭小组中的作用的重要性,强调了他们的可访问性和专业知识.
- 基于证据的护理障碍包括诊断不确定性,疾病复杂性,不充分的多学科IT和资源不足.
- 建议包括加强电子健康记录数据交换,加强药剂师和全科医生之间的专业间关系.
相关概念视频
Cardiomyopathy V: Interprofessional Care
18
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
18
Heart Failure V: Medical Management
16
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
16
Acute Coronary Syndrome IV: Interprofessional Care
13
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
13
Heart Failure VII: Nursing Interventions
118
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
118
Heart Failure VI: Adjunct Therapies
17
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
17
Peripheral Artery Disease III: Interprofessional Care
13
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
13


