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标准化分级药学监护服务在慢性气道疾病住院患者中的多维价值分析
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| 篇名： | 标准化分级药学监护服务在慢性气道疾病住院患者中的多维价值分析 |
| TITLE： | Multidimensional value analysis of standardized and graded pharmaceutical services in hospitalized patients with chronic airway diseases |
| 摘要： | 目的 为构建慢性气道疾病住院患者科学、合理的药学服务新模式提供参考。方法选取2023年10月－2024年3月在河北省人民医院呼吸科住院并接受药学监护（PC）服务的慢性阻塞性肺疾病及哮喘急性加重的患者250例，采用随机数字表法将其分成对照组（125例）和观察组（125例）。对照组患者住院期间全程给予一般药学服务，观察组患者住院期间全程给予标准化分级PC服务。比较不同PC服务模式在患者临床价值指标、人文价值指标及质量管理指标间的差异。结果在临床价值评价指标中，观察组患者的疾病治疗目标达成率、吸入装置正确使用得分、药品不良反应发生率、解决药物相关问题数量均显著优于对照组（P＜0.05）。在人文价值评价指标中，观察组的患者用药依从性得分、药师干预成功率、患者满意度均显著高于对照组（P＜0.05）。在质量管理评价指标中，观察组患者的药品费用占比、静脉用药占比、抗菌药物使用率、抗菌药物使用强度均显著优于对照组（P＜0.05）；观察组药事服务例数也多于对照组，但两组间各项药事服务例数占比的差异无统计学意义（P＞0.05）。结论标准化分级PC服务可帮助药师识别更需要关注和管理的高危患者，提高药师工作效率，提升患者就医体验，是值得推广的新型药学服务模式。 |
| ABSTRACT： | OBJECTIVE To provide reference for constructing scientific and reasonable pharmaceutical service mode for hospitalized patients with chronic airway diseases. METHODS From October 2023 to March 2024， 250 patients with chronic obstructive pulmonary disease and acute exacerbation of asthma who were hospitalized in the respiratory department of Hebei General Hospital and received pharmaceutical care （PC） were randomly divided into control group （125 cases） and observation group （125 cases）. The control group received general pharmaceutical services throughout their hospitalization， while the observation group received standardized and graded pharmaceutical services throughout their hospitalization. The differences in clinical value indicators， humanistic value indicators， and quality management indicators were compared among different PC service models. RESULTS Among clinical value evaluation indicators， the observation group had better achievement rate of disease treatment goals， correct use score of inhalation devices， the incidence of adverse drug reactions， and the number of drug-related problems solved than the control group （P＜0.05）. Among the humanistic evaluation indicators， compared with the control group， the observation group had better medication compliance scores， pharmacist intervention success rates， and patient satisfaction scores （P＜0.05）. Among quality management evaluation indicators， the proportion of drug costs， the proportion of intravenous medication， the use rate of antibiotics， the intensity of antibiotic use， and the number of pharmaceutical services in the observation group were significantly better than the control group （P＜0.05）. CONCLUSIONS Standardized and graded pharmaceutical care services have improved the efficiency of pharmacists and service effectiveness， making it a new pharmaceutical service model worth promoting. |
| 期刊： | 2024年第35卷第19期 |
| 作者： | 连玉菲；邱学佳；杨警囡；方灵芝；杨玉鹏；刘洪涛；董占军 |
| AUTHORS： | LIAN Yufei，QIU Xuejia，YANG Jingnan，FANG Lingzhi，YANG Yupeng，LIU Hongtao，DONG Zhanjun |
| 关键字： | 咳喘药学服务；药学监护；分级监护；慢性气道疾病 |
| KEYWORDS： | cough and asthma pharmaceutical services； |
| 阅读数： | 10 次 |
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