医疗机构药师干预促进合理用药管理的系统评价

发布时间：2018-07-07 08:41

本文选题：药师 + 药学　；参考：《中国医院药学杂志》2015年14期

【摘要】：目的:了解药师为规范临床药物治疗行为进行技术合作和技术干预的内容,以及我国开展合理用药工作的现状,为合理用药管理提供决策依据。方法:以干预、药学、药事和药师等检索词建立检索策略,通过文献计量学方法,统计、分析2005-2013年中国医院数字图书馆(CHKD)和万方医学网(Wanfang Med Online)发表的"药师参与合理用药工作管理"的相关文献;统计文献数量,分析汇总期刊分布。结果:检索2005-2013年发表的干预相关文献1 478篇,有效文献991篇,分布于196种杂志,相关论文在期刊中的分布并不均匀,具有明显的集中和离散规律;载文量前10位均为药学期刊,达404篇,载文量占40.77%,期刊占1.00%,显示较高的集中趋势。药师干预随年度逐步增长,干预内容随国家相关法规的颁布、政策的调整、管理工作的安排而变化。药事干预分层制策,因地制宜;干预方法、形式及内容多样,干预对象涉及医、药、护及患者;根据工作内容,干预时机分事前、事中和事后干预;干预地点前移;干预适度;干预质量逐步提高。结论:我国医疗机构药师参与临床实践形式呈多样化,涵盖专科疾病治疗、抗凝门诊、处方管理、药物应用管理、治疗药物评价与分析、静脉输液配置、治疗药物监测、药物不良反应监测、药品临床应用数据分析、药物相关的健康教育及解决与药物有关的问题等专业性实践。临床实践证明,药师干预是规范药物相关医疗行为,促进药物合理使用的一种行之有效的手段之一;干预同时若叠加行政管理,建立规范的干预标准及干预质量评价体系,药师干预的效果会进一步提高。
[Abstract]:Objective: to understand the contents of technical cooperation and technical intervention of pharmacists in order to standardize clinical drug treatment behavior, and the current situation of rational drug use in China, and to provide decision basis for rational drug use management. Methods: the retrieval strategy was established with the key words such as intervention, pharmacy, pharmacy and pharmacist. This paper analyzes the relevant documents published by Chinese Digital Library of Hospitals (CHKD) and Wanfang Med online from 2005 to 2013 "Pharmacists participate in the Management of rational Drug use", statistics the number of documents, and analyzes the distribution of periodicals. Results: a total of 1,478 intervention-related articles and 991 effective papers were retrieved from 2005 to 2013, which were distributed in 196 journals. The distribution of related papers in the journals was not uniform, and there were obvious laws of concentration and dispersion in the journals, and the top 10 articles were pharmaceutical journals. There are 404 articles, 40.77 papers and 1.00 periodicals, showing a high concentration trend. Pharmacist intervention increases gradually with the year, and the content of intervention changes with the promulgation of relevant national laws and regulations, the adjustment of policy, and the arrangement of management work. The intervention methods, forms and contents are various, and the object of intervention involves doctors, drugs, nurses and patients; according to the work content, the intervention timing is divided into pre-intervention, mid-intervention and post-intervention; the intervention place moves forward; the intervention is moderate; The quality of intervention was improved gradually. Conclusion: pharmacists in Chinese medical institutions participate in various clinical practice forms, including specialized disease treatment, anticoagulant outpatient, prescription management, drug application management, therapeutic drug evaluation and analysis, intravenous infusion configuration, therapeutic drug monitoring. Adverse drug reaction monitoring, drug clinical application data analysis, drug-related health education and solving drug-related problems and other professional practices. Clinical practice has proved that pharmacist intervention is one of the effective means to standardize drug-related medical behavior and promote rational use of drugs. The effect of pharmacist intervention will be further improved.
【作者单位】：成都军区总医院药剂科;都江堰市医疗中心药剂科;四川省第二中医医院;
【分类号】：R95

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