临床药师在呼吸系统疾病管理中的作用

The role of clinical pharmacists in the management of respiratory diseases

目的:探讨药师在呼吸系统疾病治疗中的作用。方法:检索Pubmed,EMBASE,中国期刊全文数据库(CNKI)和万方数据库中药师参与呼吸系统疾病治疗的研究。结果:多项系统评价、随机对照研究和大型回顾性研究探讨了药师参与哮喘和慢性阻塞性肺疾病(COPD)管理、抗菌药物和抗病毒药物管理、抗凝治疗管理、结核病管理和慢性癌痛管理中的作用,结局指标包括患者依从性、治疗有效性、安全性和药物费用等。结论:临床药师作为治疗团队的一员参与呼吸内科疾病管理能够提高患者依从性,改善治疗结局,促进临床合理用药。

Objective： To explore the role of pharmacists in the respiratory disease treatment. Methods：Pubmed,EMBASE,CNKI,and Wan Fang database were searched for articles about pharmacists participating in respiratory disease treatment. Results： A number of systematic reviews,randomized controlled trails,and large retrospective studies discussed the role of pharmacists to participate in the management of asthma,chronic obstructive pulmonary disease,antibacterial agents,antiviral agents,anticoagulant therapy,tuberculosis,and chronic pain,respectively. Outcomes included patient compliance,effectiveness,safety,costs,and so on. Conclusion： Clinical pharmacists,as a member of the treatment team,can improve patients＇ compliance and treatment outcomes and promote rational drug use in the clinic through participating in respiratory disease management.