药学问诊在药物重整服务中的作用  

Role of Patient Interview in Medication Reconciliation

作　　者：蔡艳[1] 张抗怀[1] 仵文英[1] 王娜[1] 王海涛[1] 

机构地区：[1]西安交通大学第二附属医院药剂科,西安710004

出　　处：《中国药房》2014年第38期3627-3629,共3页China Pharmacy

摘　　要：目的:探讨药学问诊在药物重整服务中的作用。方法:临床药师通过药学问诊,对患者进行药物重整服务,并分析评价临床药学实践中的问诊案例及取得的效果。结果与结论:药学问诊可侧重于患者既往用药史、不良反应史、过敏史、伴发疾病的药物治疗、自备药品的使用情况等方面。通过药学问诊,可详细了解患者病情、药物治疗情况、用药依从性、不良反应发生史,结合现有的药物治疗方案,分析其治疗效果不佳的原因,判断发生药物相互作用和不良反应的风险,为协助医师调整治疗方案提供依据,最大程度地保证患者用药安全,在药物重整工作中发挥作用。OBJECTIVE： To explore the role of patient interview in medication reconciliation. METHODS： By patient inter- view, clinical pharmacists provided medication reconciliation service, analyzed and evaluated interview case and its effect. RE- SULTS＆CONCLUSIONS： Patient interview focuses on past medication history, ADR history, allergic history, drug treatment for complication, the application of self aid drugs, etc. Through patient interview, clinical pharmacist could understand the disease con- dition, drug therapy, medication compliance and ADR history, analyze the reasons for failure to respond to medical treatment based on present drug therapy plan, decide the risk of drug interaction and ADR, and assist physician to adjust therapy plan to guar- antee the safety of drug use and play an important role in medication reconciliation

关 键 词：药学问诊 药物重整服务 临床药师 

分 类 号：R952[医药卫生—药学] R969.3