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在新加坡一家三级医疗中心,协作处方实践在管理患者的腹膜外科手术后
Giat Yeng Khee1, Paik Shia Lim1, Yoke Ling Chan2
1Department of Pharmacy, Singapore General Hospital, Singapore 169608, Singapore.
Pharmacy (Basel, Switzerland)
|February 23, 2024
概括
一个协作处方模型改善了减肥手术的结果. 这种方法确保了最佳的医疗和营养管理,导致成功的减肥和手术后控制的慢性疾病.
科学领域:
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
- 护理 护理 护理
背景情况:
- 协作处方 (CP) 模型涉及内分泌学家,药剂师和高级实践护士.
- CP专注于稳定的腹部外科手术患者的术后监测和管理.
研究的目的:
- 评估一个协作处方实践模型的有效性,用于腹部外科手术后的患者护理.
- 评估CP对减肥,营养状况和慢性疾病控制的影响.
主要方法:
- 内分泌学家将稳定的腹膜外科手术后患者推给CP从业者 (高级药剂师,高级实践护士).
- CP 实践者进行全面的审查,包括体重,生命体征,实验室和坚持.
- 处方和药物调整是根据临床指南进行的,复杂病例的转诊.
主要成果:
- 在2020年5月至2023年9月期间提供了672次咨询.
- 68%和80%的患者在急性和维持阶段实现了目标体重减轻.
- 缺乏 (贫血,铁,B12,叶酸,D) 的发病率低 (<10%);达到>80%的HbA1c<7%.
结论:
- 该CP框架提供了一个可持续的模型,以优化减肥手术的结果.
- 这种跨专业的方法有效地管理了手术后复杂的患者需求.
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