对住院和门诊癫患儿药学服务的实践
目的：探索建立儿童抗癫药学专科服务在住院部和门诊部的服务模式。方法：汇总分析实施这项药学服务模式过程中,收集发现的该群体药物治疗现状及患儿家属关心的主要问题。结果：上海交通大学医学院附属新华医院药学部自2016年6月开设抗癫门诊以来至2017年2月底,住院部完成50例药学服务,门诊总就诊量达240人次。通过门诊面对面交流发现,60%~70%癫患儿家属对患儿病情监测、服药方法及药物认识、癫疾病治疗要点认识、药品不良反应（ADRs）监测认识均不全面,其中,约5%的患儿家属对相关知识几乎完全不知,约25%的患儿家属对ADRs存在过度忧虑;急切换药或停药的家属比例高达26%。结论：相当一部分癫...
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| Published in | 药学服务与研究 Vol. 17; no. 5; pp. 334 - 338 |
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| Main Author | |
| Format | Journal Article |
| Language | Chinese |
| Published |
上海交通大学医学院附属新华医院药学部,上海,200082
2017
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1671-2838 |
| DOI | 10.5428/pcar20170505 |
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| Summary: | 目的：探索建立儿童抗癫药学专科服务在住院部和门诊部的服务模式。方法：汇总分析实施这项药学服务模式过程中,收集发现的该群体药物治疗现状及患儿家属关心的主要问题。结果：上海交通大学医学院附属新华医院药学部自2016年6月开设抗癫门诊以来至2017年2月底,住院部完成50例药学服务,门诊总就诊量达240人次。通过门诊面对面交流发现,60%~70%癫患儿家属对患儿病情监测、服药方法及药物认识、癫疾病治疗要点认识、药品不良反应（ADRs）监测认识均不全面,其中,约5%的患儿家属对相关知识几乎完全不知,约25%的患儿家属对ADRs存在过度忧虑;急切换药或停药的家属比例高达26%。结论：相当一部分癫患儿家属在对抗癫药物治疗要点的认识上,以及自我用药安全监测上存在认识盲区。住院和门诊综合全面管理的专科药学服务模式对于更好帮助患儿家属理解药物治疗,打消对长期用药ADRs的过度顾虑,配合坚持长期药物治疗有积极的意义。 |
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| Bibliography: | Objective：To explore the establishment of professional pharmaceutical care mode for children with epilepsy in the inpatient and outpatient departments.Methods：In the process of implementing professional pharmaceutical care mode,the status of drug treatment and chief concerns of family dependants were summarized.Results：Since the establishment of anti-epileptic treatment service from June 2016 to the end of February 2017,the total number of medical care given to epileptic children in the epileptic departments of the hospital amounted to 240 person times,and pharmaceutical care was delivered to 50 cases.Face-to-face communication revealed that 60%-70% of the dependants did not have a comprehensive understanding of disease monitoring,drug administration,chief concerns of epileptic treatment and monitoring of adverse drug reactions（ADRs）.About 5% of the dependants were totally ignorant of the knowledge in epilepsy,and about 25% of the dependants were too excessively worried about ADRs.The percentage of the depend |
| ISSN: | 1671-2838 |
| DOI: | 10.5428/pcar20170505 |