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改善产后高血压护理:整合药房住院辅导在出院时
Niamh O'Grady1, Christine Hancock2, Min Zhang1
1Department of Pharmacy, Boston Medical Center, Boston, MA, USA.
概括
药房住院辅导改善了怀孕高血压疾病患者的药物坚持和减少产后再入院. 这一举措显示了通过扩大药房角色来加强产科护理的前景.
科学领域:
- 产科 产科 产科 产科 产科
- 药理学 药理学是指药理学的学科.
- 提高质量 提高质量
背景情况:
- 孕期高血压疾病是产后再入院的主要原因之一.
- 药物不良服药显著导致这些患者的不良结果.
研究的目的:
- 评估药房居民主导咨询对药物坚持的影响.
- 评估这项干预对妊娠高血压疾病的产后患者30天再入院率的影响.
主要方法:
- 一项质量改善计划将一名药房住院医生纳入住院产科团队.
- 在出院时,为患者提供了有针对性的抗高血压辅导.
- 在基线阶段和试验阶段,再接收率和药物坚持率进行了比较.
主要成果:
- 在试点阶段,77%的符合条件的患者接受了咨询.
- 在试点阶段30天内没有发生与高血压相关的再入院,而在基线阶段为8.3%.
- 退院后的调查显示了良好的坚持,但发现了处方补充的知识差距.
结论:
- 药房居民在出院时进行咨询,可以减少与高血压相关的再入院.
- 这种干预措施支持药物坚持,并证明了药房在产科护理中的扩大角色的价值.
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