药师参与危重患者营养治疗药学监护的实践与思考  

Practice and thinking of pharmacists participating in pharmaceutical care of nutritional therapy for critically ill patients

作　　者：周欣[1] 李娟[1] 姚高琼[1] 曾钰[1] 邱峰[1] ZHOU Xin;LI Juan;YAO Gao-qiong(Department of Pharmacy,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院药学部,重庆400016

出　　处：《中国临床新医学》2021年第10期981-985,共5页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：重庆市卫生健康委医学科研项目(编号:2016MSXM014);重庆市首批临床药学重点专科建设项目。

摘　　要：目的探讨营养支持药师在危重患者营养治疗全程管理中的作用。方法通过营养支持药师对4例危重患者进行药学监护和干预的实践,明确了药师参与复杂危重患者营养治疗的益处和风险,进而对营养治疗方案进行优化。结果营养支持药师具备良好的医学和营养学基础,精通营养药物的个体化应用,能够结合患者具体情况优化营养药物治疗方案来改善危重患者的预后。结论营养支持药师参与复杂危重患者的营养支持过程,能够提高营养药物治疗的安全性和有效性,体现临床药学的核心价值和独特作用。Objective To investigate the role of nutrition support pharmacists(NSPs)in the comprehensive management of nutritional therapy for critically ill patients.Methods Through the practice of NSPs on pharmaceutical care and intervention for 4 critically ill patients,this paper indentified how pharmacists balanced the benefits and risks of nutritional therapy for the critically ill patients with complicated problems,and then optimized the nutritional therapeutic regimen.Results NSPs with abundant medical and nutritional knowledge and proficiency in the individualized use of nutritional medicines were able to optimize nutritional medication regimens to improve the prognosis of critically ill patients based on the specific situation of the patients.Conclusion NSPs participating in the process of nutrition support for critically ill patients with complicated problems can improve the safety and effectiveness of nutritional pharmacotherapy,which reflects the core value and unique role of clinical pharmacy.

关 键 词：营养支持药师 危重患者 营养治疗 药学监护 

分 类 号：R151[医药卫生—营养与食品卫生学] R969.3[医药卫生—公共卫生与预防医学]