哮喘及COPD门诊药师工作模式及实践  

Working mode and clinical practice of clinical pharmacists for asthma and COPD outpatient service

作　　者：李静姿[1] 田硕涵[1] 马凌悦[1] 周颖[1] 崔一民[1] 

机构地区：[1]北京大学第一医院,北京100034

出　　处：《临床药物治疗杂志》2016年第4期80-84,共5页Clinical Medication Journal

摘　　要：目的:探索临床药师在呼吸科对哮喘及慢性阻塞性肺疾病(COPD)患者开展药学服务工作的切入点。方法:借鉴国内外先进管理模式,结合北京大学第一医院具体情况,在如下方面开展了相关工作:①门诊首次应用吸入剂的患者进行用药指导,协助患者开展症状自评;②院内哮喘及COPD患者的教育管理;③对正在使用且既往用过吸入剂的患者进行吸入剂使用再培训,评估效果。结果:已初步获得临床认可,完成患者教育和吸入剂指导共计900余例,提高了患者吸入剂的使用技巧和治疗效果,改善了患者的用药依从性,为药师参与的哮喘及COPD患者的健康管理提供工作模式参考。结论:临床药师对哮喘和COPD患者诊治过程的全程干预,作为全程化临床药学服务的新模式,为进一步建立慢病管理体系提供了重要依据。Objective： To explore a working mode of pharmaceutical care for asthma and COPD patients. Methods： Following global advanced management mode and combined with situation of our hospital, relative work has been conducted in the following areas： ① Outpatients received individualized counselling and instruction on the techniques related to the use of inhaled medications and selfsymptom assessment; ② Inpatients inhaled and other medications education management; ③ Asthma and COPD patients inhalation using re-training and effectiveness evaluation. Results： Asthma and COPD patients＇ education has been provided to more than 900 cases till now, and inhaled skill, treatment outcome and compliance has been significantly improved, which has been preliminarily recognized by the clinical physicians and provided references for further establishing integrated pharmaceutical care. Conclusion： The intervention of clinical pharmacist may provide a new mode of integrated clinical pharmaceutical care, according to which we could establish our chronic disease management system.

关 键 词：临床药师 哮喘 慢性阻塞性肺疾病 工作模式 慢病管理 

分 类 号：R969.3[医药卫生—药理学]