文章摘要
和心依,王少科,寿晓嫒,等.临床药师参与眼科日间手术病人围手术期用药宣教的探索与实践[J].安徽医药,2019,23(11):2304-2307.
临床药师参与眼科日间手术病人围手术期用药宣教的探索与实践
Exploration and practice of pharmacists participating in medication education for ophthalmological ambulatory surgery patients
  
DOI:10.3969/j.issn.1009?6469.2019.11.050
中文关键词: 药学服务  药物疗法管理  指示性咨询  眼外科手术  围手术期医护  日间手术  用药宣教
英文关键词: Pharmaceutical services  Medication therapy management  Directive counseling  Ophthalmologic surgical pro? cedures  Perioperative care  Ambulatory surgery  Medication education
基金项目:
作者单位E-mail
和心依 西安市第四医院药剂科陕西西安 710004  
王少科 西安市第四医院药剂科陕西西安 710004  
寿晓嫒 西安市第四医院药剂科陕西西安 710004  
薛小荣 西安市第四医院药剂科陕西西安 710004  
胡斌 西安市第四医院药剂科陕西西安 710004 hubin@126.com 
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中文摘要:
      目的探讨临床药师参与眼科日间手术病人围手术期用药宣教的有效性和必要性。方法分析 2018年 10月至 2019年 3月西安市第四医院眼科日间手术病人用药现状,阐述药师开展眼科日间手术病人围手术期用药宣教的工作模式,评估宣教工作开展成效。结果日间手术诊疗模式下病人的药物治疗主要在家中自行完成,整个用药过程缺乏专业医护人员的监护,存在一定的用药安全隐患。我院药师采用讲解、演示配合发放宣教手册的模式为病人示范正确的滴眼液使用方式及注意事项,告知病人正确的用药剂量及用药频率,滴眼液使用过程中可能出现的不良反应等问题。对病人用药咨询内容分类统计,结果表明咨询最多的为药物用法用量相关问题( 36.92%)。临床药师的宣教工作得到了医生、护士、病人及家属的肯定,期间为病人纠正了多个用药误区。日间手术病人围手术期宣教工作的顺利开展及获得的成果为我院进一步优化药师工作模式指明了方向。结论用药宣教是药师参与药物治疗管理的重要方式,尤其对于日间手术病人,用药宣教是促进其安全合理用药的有效方法。
英文摘要:
      Objective To explore the effectiveness and necessity of pharmacists providing medication education for ophthalmologi?cal ambulatory surgery patients.Methods The situation of medication for ambulatory surgery patients in Xi’an No.4 Hospital was analyzed.The mode of medication education for ophthalmological ambulatory surgery patients in our hospital were elaborated,and the effectiveness of medication education were evaluated.Results Under the mode of ambulatory operation,drug therapy was main?ly completed by patients themselves at home.The whole process lacked supervision of professional medical staff,and there were some potential safety hazards of drug use.During medication education,the correct way,correct dosage and frequency of using eye? drops and the matters needing attention were demonstrated for patients,and the possible adverse reactions were also informed.Theresults of analysis of medication consultation problems from patients showed that the most frequently consulted questions wereabout drug use and dosage(36.92%).The medication education provided by clinical pharmacists had received recognition by doc? tors,nurses,patients and their families,during which many medication errors had been corrected for patients.The successful devel?opment of medication education for ophthalmological ambulatory surgery patients indicated the direction for further optimizing thework mode of pharmacists in our hospital.Conclusion Medication education was an important way for pharmacists to participatein medication therapy management.Especially for ambulatory surgery patients,medication education is an effective way to promote safe and rational drug use.
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