摘要
目的:分析当前我国临床药师成功实施的药学干预的核心要素和典型特征。方法:运用内容分析法对CNKI收载的反映临床药师参与疾病治疗工作的病例文献信息进行摘录、归类与分析。结果:临床药师成功干预的病种主要为循环系统疾病、呼吸系统疾病等,建议更换药物、终止某种药物的使用和增加临床检查项目是主要的干预类型,干预原因以预防药物不良反应和改善药物疗效为主,抗生素在干预所涉及的病例中出现的频次最高。结论:临床药师实施的药学干预促进了药物治疗的安全性和有效性,但是在提高药物治疗的经济性方面尚未发挥足够的作用,建议临床药师应加强关注用药状况复杂的特殊人群,在抗生素临床应用管理过程中发挥作用,并逐步开展对临床用药经济性的药学干预。
Objective To analyze the key elements and typical characteristics of successful pharmaceutical interventions by clinical pharmacists. Methods All the literatures of eases in which the clinical pharmacists participating in treatment were abstract-ed from the database of CNKI and analyzed with content analysis. Results The main diseases which were successfully intervened by clinical pharmacists were circulatory diseases and respiratory diseases. The main intervention types were suggestions on re-placement or withdrawal of drugs and the addition of medical examination. The cause of interventions mainly included preventing adverse drug effects and improving outcomes. And the most frequent drugs were antibiotics. Conclusion The pharmaceutical inter- ventions by clinical pharmacists could improve the safety and efficacy of pharmacotherapy. However, its role in optimizing the e- conomy of pharmacotherapy should be further improved. It was suggested that clinical pharmacists to strengthen interventions on the special populations ,play an important role in the management of antibiotics and carry out pharmaceutical interventions on the economy of pharmacotherapy step by step.
出处
《中国卫生事业管理》
北大核心
2014年第1期25-27,34,共4页
Chinese Health Service Management
基金
国家自然科学基金项目"医院临床药学服务的影响因素分析与质量评价研究"(编号:71003055)
江苏省高等学校大学生实践创新训练计划项目"基于Delphi法的医院临床药学服务质量评价体系研究"(编号:2012JSSPITP1053)
关键词
临床药师
内容分析法
医疗建议
药学干预
核心要素
典型特征
clinical pharmacists
content analysis
medical suggestions
pharmaceutical intervention
key elements
typicalcharacteristics.
