临床药师在姑息性放疗患者癌痛管理中的作用

发布时间：2018-02-17 03:53

本文关键词： 临床药学服务癌痛管理临床药师　出处：《中国药房》2015年20期 　论文类型：期刊论文

【摘要】：目的:探讨临床药师在姑息性放疗患者癌痛管理中的作用。方法:采用前瞻性随机对照研究,将我院放疗科进行姑息性放疗、符合病例入组条件的癌痛患者随机分为观察组和对照组,各30例。临床药师参与观察组患者的用药治疗,为医师提供药学服务,记录两组患者药物治疗情况、疼痛评分、服药依从性、卡氏(KPS)评分及生存质量评分。结果:综合治疗第5天,观察组患者疼痛缓解率为63.3%,高于对照组的缓解率36.7%(P0.05)。治疗1个月,两组患者的疼痛缓解率为70%、80%(P0.05);KPS评分、生存质量评分及服药依从性均较治疗前有明显改善(P0.01或P0.05),且观察组的服药依从性优于对照组(P0.01)。结论:临床药师参与癌痛管理可明显提高患者服药依从性,更有效缓解癌痛。
[Abstract]:Objective: to explore the role of clinical pharmacists in the management of cancer pain in patients with palliative radiotherapy. Patients with cancer pain who met the conditions of admission were randomly divided into the observation group and the control group, each with 30 cases. The clinical pharmacists participated in the treatment of the patients in the observation group, provided pharmacological care for the doctors, recorded the drug treatment situation and the pain score of the patients in the two groups. Results: on the 5th day after comprehensive treatment, the pain relief rate in the observation group was 63.3, which was higher than that in the control group (36.7%, P 0.05). After one month of treatment, the pain relief rate of the two groups was 70% and 80% respectively (P0.05KPS score). The scores of quality of life and drug compliance were significantly improved compared with those before treatment, and the drug compliance of the observation group was better than that of the control group (P 0.01). Conclusion: the clinical pharmacists' participation in the management of cancer pain can obviously improve the compliance of patients with medication and relieve the cancer pain more effectively.
【作者单位】：上海交通大学医学院附属仁济医院药剂科;
【基金】：上海交通大学医学院科技基金项目(No.JYY1204)
【分类号】：R95

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