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试验结果显示，住院期间，试验组患者的用药依从性和抗菌药物规范合理使用水平显著高于对照组，药物不良事件的发生率显著低于对照组，对于传统医疗过程和用药监护过程的满意度显著高于对照组，两组相比均具有显著性差异（P＜0.05）；出院后两组患者的用药依从性、复诊或再入院率及用药偏差无显著性差异（P＞0.05），而对于药物不良事件的认知度和药学指导的满意率试验组仍高于对照组，两组相比具有显著性差异（P＜0.05）。 本研究首次建立了COPD药学路径和随访计划，在临床工作中受到了医护人员和患者的好评。这是药学服务路径工作模式在COPD的成功应用，也为该工作模式在其他慢性疾病的推广积累了丰富的经验。 对于接受多药治疗的COPD住院患者，遵循药学服务路径进行全程化、规范化、同质化的药学监护，可明显提高住院患者的用药依从性、满意度和抗菌药物规范合理使用水平，显著降低药物不良事件的发生率，但是对于出院后复诊或再入院率及用药偏差无显著影响。本试验结果证明，遵循规范化的药学服务工作模式可以保证患者用药的安全性，提高临床抗菌药物规范合理使用水平，保证医疗质量，提高患者的满意度。临床药师以此为切入点开展规范化的药学服务工作，对于提高慢性病患者治疗水平和生活质量具有重要的意义。同时，临床药师应深入社区积极开展社区药学服务工作，提高老年慢性疾病患者的用药依从性，减少用药偏差，改善患者生活质量。 |
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RXMCDM: 金币-10, 请先看看应助必读，机器翻译下次重罚！ 2014-09-29 23:59:06
RXMCDM: 金币-10, 请先看看应助必读，机器翻译下次重罚！ 2014-09-29 23:59:06
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Test results show that, during the period of hospitalization, the test group patients compliance and the rational use of antibiotics was significantly higher than the control group, the incidence rate of adverse drug events was significantly lower than the control group, the traditional medical process and drug monitoring process satisfaction was significantly higher than that in control group, compared to the two groups were significant difference (P < 0.05 after discharge from hospital); the two groups of patients with medication compliance, referral or readmission rate and medication deviation of no significant difference (P > 0.05), and for recognition and Pharmacy Guide adverse drug events of the satisfaction rate of the experimental group was higher than that of control groups, compared to the two groups have significant difference (P < 0.05). This study established the first COPD pharmacy path and follow-up plan, in the clinical work by the medical staff and patients of praise. This is the pharmacy service path modes in the successful application of COPD, but also for the work mode in the promotion of other chronic diseases has accumulated rich experience. For multi drug therapy in hospitalized COPD patients, pharmaceutical care to follow the path of the whole process of pharmacy services, standardization, homogenization, can significantly improve the hospitalized patients with medication compliance, satisfaction and the rational use of antibiotics, significantly reduce adverse drug event rate, but for a referral or readmission after discharge the rate of deviation and medication had no significant effect. The test results show that, the pharmaceutical service mode to follow standardized can ensure patient safety, improve the clinical rational use of antibacterial drug level, ensure the quality of medical care, improve patient satisfaction. Clinical pharmacists as pharmaceutical services starting point to carry out standardization, has important significance for improving the treatment of patients with chronic diseases and the level of quality of life. At the same time, clinical pharmacists should further community actively participate in community pharmacy services, improve the medication compliance of senile patients with chronic disease, reduce medication error, improve the life quality of patients. |
2楼2014-09-29 14:27:39
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