临床药师参与心内科老年患者会诊情况调查及典型案例分析

Investigation and Case Analysis of Typical Clinical Pharmacists Participating in Consultation of Elderly Patients in Cardiology

目的调查焦作市第二人民医院临床药师参与心内科老年患者的会诊情况并分享典型案例,为进一步提高临床药学服务提供参考。方法收集焦作市第二人民医院2017年1月-2018年6月临床药师会诊或主动监护的心内科老年患者的药物使用情况及典型案例进行分析。结果临床药师共参与心内科老年患者会诊或主动监护病例57例,会诊常见疾病为高血压、心律失常、冠心病等,会诊常见药物为抗高血压药物、抗菌药物、抗心律失常药物等,会诊意见采纳率为78.95%(完全采纳43.86%,部分采纳35.09%),会诊意见有效率为75.44%。结论临床药师应积极参与临床实践,与医师形成一个治疗团队,及时发现并解决用药中出现的问题,促进临床合理用药。

OBJECTIVE To investigate the consultation of clinical pharmacists in the Second People’s Hospital of Jiaozuo City for elderly patients with cardiology and share typical cases, and to provide reference for further improving clinical pharmacy services. METHODS To analyze the drug use and typical cases of elderly patients with cardiology in the clinical pharmacist consultation or active monitoring from January 2017 to June 2018 in the Second People’s Hospital of Jiaozuo City. RESULTS Clinical pharmacists participated in 57 cases of consultation or active monitoring of elderly patients in cardiology. The common diseases were hypertension, arrhythmia, coronary heart disease, etc. The common drugs for consultation were antihypertensive drugs, antibacterial drugs, antiarrhythmic drugs, etc. The consultation rate was 78.95%(completely adopted 43.86%, partially adopted 35.09%), the effective rate of consultation was 75.44%. CONCLUSION Clinical pharmacists should actively participate in clinical practice, form a treatment team with physicians, timely discover and solve problems in medication, and promote clinical rational drug use.