药师-护士合作模式对冠心病患者用药教育作用的探讨

Evaluation For a Pharmacist-Nurse Co-Managed Programonthe Management of Coronary Heart Disease

目的探讨药护合作模式在冠心病住院患者健康教育的作用。方法查阅国内外有关药护合作模式在冠心病患者用药教育的文献,结合实际临床需求和工作经验,药师和护士合作初步建立我院心血管内科冠心病患者用药教育的药护合作模式。结果药师与护士共同合作组成治疗团队能提高患者对药品药理作用、用法用量、注意事项的认知,与传统的单一护士健康教育相比,药护合作模式使住院患者的用药依从性由31%显著提升到92. 5%,90%的患者表示愿意接受长期随访和用药指导,增进医护人员对药师在团队工作的认可。改善临床结局有一定作用。结论肯定临床药师在医疗团队中的作用,临床药师与护士依据各自专业特点,合作用药教育显著提高患者用药知识的认知度和提升用药依从性从而提高临床疗效,减少药品不良反应,并提高患者对临床药师的认可程度。今后需建立长期随访制度。

OBJECTIVE To investigate the clinical effect of pharmacist-nurse co-managed program on health education on the management of coronary heart disease. METHODS Consult literature related to pharmacists and nurses cooperation on health education for coronary heart disease patients, and combine actual clinical needs and work experience, pharmacist-nurse co-managed program on medication education of coronary heart disease was been preliminary established in cardiology department in our hospital. RESULTS The pharmacist-nurse co-managed program can improve the patients concern for pharmacological actions, dosage and precautions for drugs. Compared with the traditional nurses health education, pharmacist-nurse co-managed program significantly improved the drug compliance of patients from 31% to 92.5%. The 90% of the patients hope to accept long-term follow-up.The role of pharmacists improved in the health team. The clinical outcomes was improved. CONCLUSION Clinical pharmacists certainly play a role in the medical teams.Pharmacist-nurse co-managed program is effective in improving the clinical outcome and reduce the adverse drug reactions. A long-term follow-up system is needed in the future.