营养专科临床药师参与营养支持治疗会诊的效果分析

Effectiveness analysis of nutrition support therapy consultation with the participation of clinical pharmacists specializing in nutrition

目的 分析营养专科临床药师营养支持治疗会诊病例的特点,探讨临床药师在会诊工作中发挥的作用。方法 纳入2021年3月至2023年2月营养专科临床药师参与的营养支持治疗会诊病例43例,收集患者一般临床资料、营养风险筛查情况、胃肠道情况、临床药师会诊意见、会诊意见采纳情况和患者临床转归情况。结果 43例营养专科临床药师参与的营养支持治疗会诊病例中,男性(占81.40%)和≥65岁(占65.12%)的病例占比较高,呼吸危重症疾病科、急诊重症医学科、感染性疾病科对营养支持治疗会诊需求较大;临床药师共开具47张营养支持治疗处方,其中40张处方采用个体化肠外营养方案进行营养支持治疗;会诊意见的采纳率为92.59%,采纳会诊意见的病例中,好转出院的病例占比为64.10%。结论 营养专科临床药师参与营养支持治疗会诊,会诊意见采纳率较高,采纳意见的病例临床转归较好,临床药师在会诊中的价值得到临床医师认可,会诊制工作模式可以使临床药师积极主动地参与到药学服务中。

AIM To analyze the characteristics of consultations with the involvement of clinical pharmacists specializing in nutrition for nutritional support therapy cases and to explore the role of clinical pharmacists specializing in nutrition in consultation work.METHODS A total of 43 cases of pharmaceutical consultation for nutritional support therapy from March 2021 to February 2023 were collected,encompassing a range of data including clinical features of patients,nutritional risks screening,gastrointestinal complications,consultation recommendations of clinical pharmacists,consultation advice adoption and clinical outcomes.RESULTS A total of 43 pharmaceutical consultation cases in nutritional support therapy diseases were carried out by clinical pharmacists specializing in nutrition.The quantity of consultation cases from the departments of respiratory intensive care unit,emergency intensive care unit and department of infectious disease was listed as the top 3.A total of 47 nutritional support therapy prescriptions were issued by clinical pharmacists,of which 40 prescriptions used individualized parenteral nutrition plans for nutritional support therapy.The adoption rate of consultation suggestions was 92.59%.The improvement rate of the patients was 64.10%.CONCLUSION Clinical pharmacists specializing in nutrition participate in nutrition support therapy consultation,and the adoption rate of consultation opinions is higher,the clinical outcome of the cases that adopt the opinions is better,and the value of clinical pharmacists in consultation has been recognized by clinicians.The working mode of the consultation system actively involves clinical pharmacists in pharmaceutical care.