通过心血管疾病临床管理课程授权在初级保健中工作的药剂师:对实践的影响
L Moura1, J Chahal2, F Fernandez-Llimos3
1Research Institute for Medicines (iMED.ULisboa), Faculty of Pharmacy, University of Lisbon, Av. Prof. Gama Pinto, 1649-003 Lisboa, Portugal.
Currents in pharmacy teaching & learning
|June 2, 2024
概括
一个培训课程显著提高了药剂师在治疗心血管疾病 (CVD),特别是高血压方面的信心和知识. 预计这种增强的能力将改善初级保健机构的患者护理和药物优化.
科学领域:
- 主要护理药房 药房 药房
- 心血管疾病管理管理
- 医疗保健工作人员培训 医疗保健工作人员培训
背景情况:
- 心血管疾病 (CVD) 是全球主要的死亡原因.
- 有效的初级保健,在熟练的医疗保健工作人员的支持下,对于管理慢性疾病至关重要.
- 一般医生 (GP) 实践中的药剂师在提供有效的疾病管理服务方面发挥着至关重要的作用.
研究的目的:
- 评估一般医生实践中药剂师培训课程的有效性.
- 评估这次培训对药剂师对心血管疾病管理的自信和知识的影响.
- 确定培训对药剂师临床实践的影响.
主要方法:
- 使用前后评估模型来评估培训的有效性.
- 调查测量了药剂师在训练前和训练后 (即时和6个月后的随访) 对心脏动 (AF),高血压和高脂血症的自信和知识.
- 统计分析包括对对样本的t测试,科恩的d用于效果大小,以及对比组的独立样本t测试.
主要成果:
- 药剂师在高血压管理方面的自信和知识显著改善,效果大小很大.
- 对心房动 (AF) 和高脂血症的信心显著增加,尽管知识收益较小.
- 药剂师的实践在6个月后在训练和比较组中都得到改善,这表明了更广泛的实践影响.
结论:
- 该培训课程有效地提高了药剂师在治疗心血管疾病方面的知识和自信.
- 这些改进预计将对临床实践和患者的治疗结果产生积极影响.
- 提高药剂师的能力预计将有助于更好的药物优化和患者益处.
相关概念视频
Cardiovascular Drugs: Classification based on Therapeutic Indications
2.4K
Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However,...
2.4K
Assessment of the Cardiovascular System I: Subjective Data
316
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
316
Diabetes: Management and Pharmacotherapy
260
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
260
Factors affecting Blood pressure
3.1K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.1K
Heart Failure Drugs: β-Blockers
336
β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation,...
336
Exercise and Cardiovascular Response
784
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
784


