临床药师对1例晚期癌痛患者的药学监护和体会

Pharmaceutical Care and Experience of a Case of Advanced Cancer Pain by Clinical Pharmacists

目的:探讨临床药师参与晚期癌痛患者止痛治疗的作用。方法:结合1例晚期癌痛伴尿路感染患者具体病例,在患者住院全过程从药物非常规用法用量的评价、抗感染药物选择、药品不良反应防范等方面为患者提供药学服务并进行药学监护。结果:本次药学监护在保障患者用药安全、提高患者生存质量、降低患者药品费用、提高患者用药依从性等方面取得明显效果,提高了临床药物治疗水平。结论:临床药师深入临床直接面向晚期癌痛患者提供药学服务,开展药学监护,可在药物选择、避免药物相互作用、防范严重药品不良反应发生等多个方面保障患者用药安全,体现临床药师价值。

OBJECTIVE： To explore the function of clinical pharmacists participating in analgesic treatment. METHODS： Based on 1 case of cancer pain with urinary tract infection, clinical pharmacists offered pharmaceutical care and service during the inpatient procedure in fields of unconventional usage and dosage, the selection of antimicrobial agents and the prevention of adverse drug reactions. RESULTS： The pharmaceutical care ensured patient safety, improved the survival quality of patient, reduced drug costs, improved patient medication compliance to achieve significant effect and improved the level of clinical medication. CONCLUSIONS： Clinical pharmacists guarantee the safety of drug use and show their value through providing pharmaceutical care for cancer pain patients directly, developing pharmaceutical monitoring, selecting drugs rationally, avoiding drug interactions and preventing serious adverse drug reactions.