[翻译文章] 对间歇性肺病患者的药物护理的检查清单 (CheckEPID):基于德尔菲的共识
Marta Calvin-Lamas1, Miguel Ángel Calleja Hernández2, Emilio Monte-Boquet3
1Servicio de Farmacia, Complexo Hospitalario Universitario A Coruña (CHUAC), Instituto de Investigación Biomédica de A Coruña (INIBIC), A Coruña, Spain.
概括
一个新的检查清单有助于医院药剂师为服用抗纤维素药物的间歇性肺病 (ILD) 患者提供药物护理. 该工具支持综合护理和治疗监测,以改善患者的治疗结果.
科学领域:
- 药理学和临床药学 药理学和临床药学
- 肺部医学 肺部医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 间歇性肺病 (ILD) 的管理是复杂的,需要多学科的合作.
- 医院药剂师在监测ILD的抗纤维菌药物治疗中发挥着至关重要的作用.
- 需要标准化的工具来增强ILD的药物护理.
研究的目的:
- 制定一个全面的检查清单,用于ILD患者的药物护理.
- 为了促进接受抗纤维菌疗法 (nintedanib, pirfenidone) 的患者的管理.
主要方法:
- 采用了德尔菲方法,涉及30名医院药剂师两轮.
- 根据有关实用性和适用性的专家共识,开发和完善了最初的37项清单.
- 这些项目包括患者数据,治疗后续,远程药物和非药物干预.
主要成果:
- 德尔菲过程在两个轮之后产生了一个40项的检查清单.
- 在两个项目上没有就实用性达成共识:手术史 (尽管保留了) 和放松建议.
- 在患者分层和患者报告的结果收集方面没有就适用性达成共识.
结论:
- 开发的检查清单可以显著改善ILD患者服用抗纤维素药物的综合药物护理.
- 该工具支持医院药剂师优化治疗监测和患者管理.
- 检查清单有助于对复杂的ILD病例采取多学科的方法.
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