基于咨询的降低处方服务,以优化末期癌症患者的息治疗
Minoh Ko1,2, Sunghwan Kim2, Sung Yun Suh2
1College of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul, Republic of Korea.
Journal of clinical medicine
|December 9, 2023
概括
药剂师主导的降低处方显著改善了晚期癌症患者的药物管理. 这项服务成功地减少了预防性药物和解决了与药物相关的问题,提高了患者的护理.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 药理学 药理学 是一个学科.
- 老年病的医生 老年病的医生
背景情况:
- 在临终癌症患者的基于咨询的息治疗团队 (CB-PCT) 中实施了一项由药剂师领导的脱处方服务.
- 该服务旨在优化弱势群体的药物治疗方案.
研究的目的:
- 在CB-PCT中评估药剂师领导的终末癌症患者脱处方服务的临床结果.
- 评估抑郁症服务的有效性和可实施性.
主要方法:
- 一个回顾性分析比较了接受抑郁症服务的活跃护理 (AC) 组与历史的常规护理 (UC) 组.
- 结果包括抑郁的处方率,药物相关问题的解决 (MRPs),临床意义和药剂师干预接受率.
主要成果:
- 与UC组相比,AC组显示出显著更高的减记率 (29.6%对10.4%) 和更高比例的解消MRP在出院时 (39.7%对2.97%).
- 在AC组中,药剂师干预的接受率明显高于AC组 (78.0%对30.0%).
- 抑郁症的临床意义始终被评为非常显著.
结论:
- 合作的药剂师领导的脱处方服务有效地识别和解决终末癌症患者临床上重要的药物相关问题.
- 该服务可以在实践中实施,证明药剂师干预的接受率很高.
- 这种方法优化了药物使用,并提高了息治疗环境中的护理质量.
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