某院结核病患者门诊药学服务的开展及其成效分析

目的:分析结核病患者门诊药学服务(简称"药学门诊")的开展对合理用药的影响,探究结核病患者临床治疗个体化药学服务新模式。方法:通过开展结核病门诊半日制药学服务,提供患者药物咨询、健康及用药教育、药学监护等内容后;抽取2018年1月-2019年4月间门诊就诊的结核病患者940例次数据,分析其门诊药学服务的开展对合理用药的影响及其工作成效。结果:940例次患者中,其中药物咨询473例、用药教育253例和药学监护214例,有效解答了患者用药的相关问题,提高了患者用药的依从性,及时干预了用药期间产生的药物不良反应,改善了预后,提高了患者对治疗的满意度。结论:结核病门诊药学服务新模式的开展,有效提高了结核病患者用药的合理性、有效性及依从性,发挥了临床药师的专业特长。

Development and Its Effectiveness Analysis of Pharmaceutical Care for Out-patients with Tuberculosis in a Hospital

Objective:To analyze the influence of outpatient pharmaceutical care(referred to as"pharmaceutical clinic")on rational drug use,and to explore a new model of individualized pharmaceutical care for tuberculosis(TB)patients.Methods:By carrying out half-day pharmaceutical care in TB outpatient service,after providing the patient with drug counseling,health and medication education,pharmaceutical care and other contents;data of 940 TB patients who visited outpatient clinics from January 2018 to April 2019 were collected to analyze the impact of pharmaceutical care on rational drug use and its effectiveness.Results:Among the 940 patients,there were 473 cases of drug counseling,253 cases of drug education and 214 cases of pharmaceutical care.It effectively solved the problems related to the medication of patients and improved the medication compliance of patients;the adverse drug reactions during medication were timely intervened.Its prognosis has been improved and the satisfactions of patients to treatment are improved.Conclusion:The development of the new mode of pharmaceutical care in the outpatient department of tuberculosis,effectively improves the rationality,effectiveness and compliance of drug use for tuberculosis patients,and the professional expertise of clinical pharmacists is brought into full play.