社区药师门诊对老年慢病患者药物治疗管理(MTM)的服务实践  

Service Practice of Community Pharmacist Clinic in Medicine Treatment Management for Elderly Patients with Chronic Diseases

作　　者：许夏燕[1] 郑桂梅 王振兴[1] 邹绮雯 曹伟灵[1] Xu Xiayan;Zheng Guimei;Wang Zhenxing;Zou Qiwen;Cao Weiling(Department of Pharmacy, Shenzhen Luohu People＇ s Hospital, Guangdong Shenzhen 518000, China)

机构地区：[1]深圳市罗湖区人民医院药学部,广东深圳518000

出　　处：《中国药师》2018年第7期1214-1217,共4页China Pharmacist

基　　金：深圳市罗湖区软科学研究计划项目(编号:2016017)

摘　　要：目的:探讨在社区开设药学门诊,为老年慢病患者提供药物治疗管理(MTM)服务的工作模式的作用和实践。方法:临床药师对2017年3~12月372例患者实施MTM服务,分析该类人群患者不合理用药的特点,通过实例介绍临床药师进行MTM服务的作用与实践。结果:372例患者中合并2种及以上疾病的患者占58.9%,同时服用5种药物以上的患者占78%,其中不合理用药突出问题中重复用药比例高达43.7%。结论:社区药师门诊开展MTM服务,临床药师为老年患者多重用药管理提供了保障,提高了患者用药安全性和合理性,也为临床药师工作模式转型、建立药物治疗管理体系提供参考。Objective： To explore the practical role of setting up pharmacy clinic in communities and providing work models of medicine treatment management（ MTM） service for elderly patients with chronic disease. Methods： From March to December 2017,MTM service was provided for 372 patients. The characteristics of irrational drug use in population were analyzed and the practical role of MTM service by clinical pharmacists was investigated. Results： Among the 372 patients,58. 9% were complicated with 2 or more diseases,and 78% were treated with more than 5 varieties of drugs at the same time. The repeated use proportion of drugs was as high as 43. 7%,which was the prominent problem of irrational drug use. Conclusion： The MTM service offered by community pharmacists provides the protection for elderly patients with multiple drug administration,improves the safety and rationality of medication,and provides references for clinical pharmacists＇ transformation and the establishment of drug treatment management system.

关 键 词：社区药师门诊 药物治疗管理 慢性病 药学服务 

分 类 号：R97[医药卫生—药品]