加强瘤患者的药物治疗:对药物管理的最佳实践建议
Vivien Berger1, Matthias Reeh2, Martin Scherer3
1Hospital Pharmacy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
PloS one
|June 6, 2024
概括
临床药剂师在关护理中发挥着至关重要的作用,识别药物治疗问题并提高患者安全. 脊髓切除术患者需要对影响药物治疗的骨髓切除术相关问题 (ORP) 进行仔细监测.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 手术患者护理手术患者护理
背景情况:
- 骨髓切割手术在患者护理和药物管理方面存在挑战.
- 现有的指导方针缺乏优化药物治疗后口术的具体证据.
- 需要对与骨相关的问题 (ORP) 有药学观点.
研究的目的:
- 调查和描述与药物治疗相关的ORP.
- 提供最佳实践建议,以对口腔药物进行管理.
- 强调临床药剂师在关护理中的作用.
主要方法:
- 展望性,干预性单心队列研究.
- 包括患有大肠或大肠的患者.
- 临床药剂师对药物相关问题的评估 (DRP) 使用药物评价和患者采访.
- 通过DokuPIK.IK对药剂师干预措施 (PI) 的记录和评估.
- 跨学科讨论和医生对PI的实施.
主要成果:
- 包括80名患者:54名患有静脉管切除术,26名患有静脉管切除术.
- 记录了288个PI,医生接受率为94%.
- 最常见的PI:缺少指示药物 (例如,洛佩拉米德用于高静脉产量).
- 结节切开术患者中与骨相关的PI比例较高 (48.3%与31.5%相比).
结论:
- 临床药剂师对于 ostomy 护理的跨学科团队至关重要.
- 乳房切开术患者更容易受到与药物治疗有关的ORP的影响.
- 药物治疗的仔细监测对于结肠静脉切开术患者至关重要.
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