癌痛规范化示范病房的药学服务初探

The Pharmaceutical Care in the Good Pain Management Ward

目的了解评价药学服务在某院创建“癌痛规范化示范病房”活动中的作用，提高癌痛规范化治疗水平，加强癌痛规范化管理并总结经验。方法采用回顾分析法，通过分析某综合医院化疗科2011～2015年癌痛药品DDDs、处方合理率和药学服务的变化等指标评价药学服务在创建癌痛规范化示范病房活动中的作用。结果创建“癌痛规范化示范病房”前后比较，癌痛三阶梯药品DDDs构成比差异有统计学意义（P〈0．05），辅助药物的使用率提高，癌痛处方合理率有显著性提高（P〈0．05）。结论创建“癌痛规范化示范病房”活动中，药学服务能有效促进创建科室癌痛药物使用及管理的合理性与规范性。

OBJECTIVE To evaluate the effect of pharmaceutical care on establishing ＂the good pain management ward＂ in hospital, therefore, improving treatment level and elevating the management experience of cancer pain. METHODS Retrospective analysis method was used to evaluate the effect of pharmaceutical care on establishing ＂the good pain management ward＂ through analyzing the DDDs of anticancer drugs, reasonable rate of prescriptions and changes of pharmaceutical care in a chemotherapy department of polyclinic from 2011 to 2015. RESULTS In contrast the establishment of the good pain management ward before and after, there was a remarkable difference in the DDDs constituent ratio of the three-step analgesic ladder drugs （ P 〈 0. 05 ）. And usage rate of adjunctive drug was increased; moreover, reasonable rate of prescriptions was significantly improved （P 〈 0. 05）. CONCLUSION Pharmaceu- tical care could effectively promote the reasonable and normative ability of cancer drug use and management in establishing ＂the good pain management ward＂.