评估"现场"的影响:一个远程药房高血压咨询服务
Briana Bethune1, Jamie Coates1, Naomi Yates1
1Clinical Pharmacy Department, Kaiser Permanente Georgia, Tucker, GA, USA.
The Permanente journal
|October 27, 2025
概括
远程临床药房专家整合到护士访问中,改善了药物优化和远程BP监测入学. 与常规护理相比,血压控制仍然类似,增强了门诊实践.
科学领域:
- 心血管医学 心血管医学
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药剂师的干预可以改善血压 (BP) 控制在预定访问.
- 在面对面的护士访问期间远程药剂师咨询对BP结果的影响尚未得到充分证实.
研究的目的:
- 评估护士访问期间与临床药房专家 (CPS) 进行实时远程咨询是否可以改善高血压患者的血压结果.
主要方法:
- 在护士访问期间,对患有高血压和高血压的成年患者进行了回顾性队列研究.
- 干预组通过安全聊天即时接受CPS咨询;对照组接受通常的护理.
- 结果包括达到BP目标的时间,药物优化,BP变化,BP目标实现和远程BP监测 (RBPM) 注册.
主要成果:
- 控制血压的时间在两组之间是相似的 (31.93 vs 31.21天).
- 干预组的药物优化率 (62.3%与35.5%) 和RBPM入学率 (63.1%与6.6%) 显著提高.
- 血压目标的实现和血压的减少在各组之间是可比的.
结论:
- 将远程CPS咨询整合到护士访问中可以提高药物优化和RBPM入学率.
- 与通常的护理相比,这种方法提供了类似的BP控制结果.
- 该服务改变了门诊护理,并通过远程技术扩大了访问.
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