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Updated: Jun 5, 2025
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在社区药房检测到的药物治疗问题INR检查
Jeff Nagge1, Michelle Moussa2, Amleset Zerai3
1School of Pharmacy, University of Waterloo, Kitchener, Ontario.
概括
社区药剂师使用点诊所 (POC) INR测试在接受华法林治疗的患者中发现了非华法林药物治疗问题 (nwMTP). 这突显了药剂师在改善抗凝管理期间全面的患者护理方面的作用.
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
- 药物管理 药物管理
背景情况:
- 华法林仍然是加拿大的常见抗凝剂,传统上通过实验室INR测试进行管理.
- 新斯科舍省的社区药房抗凝管理服务 (CPAMS) 使用社区药剂师进行护理点 (POC) INR测试和华法林管理.
- 这种模型为识别非华法林药物治疗问题 (nwMTPs) 提供了机会.
研究的目的:
- 评估药剂师在POC INR测试中在心房的患者中发现的nwmtp的速率和类型.
- 评估药剂师对这些已识别的nwmtp进行的干预措施.
主要方法:
- 在诺瓦斯科舍省40家社区药房进行了前性,多中心的观察性研究.
- 药剂师在常规POC INR访问期间使用Qualtrics洞察平台记录了nwtMTP和干预措施.
- 数据是在6个月的时间内收集的.
主要成果:
- 在6个月内,13家药房报告了43个nwmtp.
- 估计的nwMTP检测率为每100个POC INR测试中的1.26 (95% CI,0.69到2.32).
- 最常见的nwmtp类别是"指示",通常需要额外的治疗;药剂师通常建议药物调整或患者教育.
结论:
- 药剂师在华法林治疗期间检测和管理各种药物治疗问题方面发挥着潜在的重要作用.
- 与指示相关问题的高率表明,华法林治疗患者的治疗需求尚未得到满足.
- 在社区环境中由药剂师领导的POC INR测试可以通过识别和解决nwmtp来增强综合患者护理.
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