腹膜透析患者全程智慧化药学服务模式的建立  

Establishment of whole-process intelligent pharmaceutical care model for peritoneal dialysis patients

作　　者：杭永付[1] 徐燕 戴小花 吴甜甜 段银银 徐德宇[6] 胡坤[6] 刘星星[7] 朱建国[1] 缪丽燕[1] 李琳[6] HANG Yongfu;XU Yan;DAI Xiaohua;WU Tiantian;DUAN Yinyin;XU Deyu;HU Kun;LIU Xingxing;ZHU Jianguo;MIAO Liyan;LI Lin(Dept.of Pharmacy,the First Affiliated Hospital of Soochow University,Jiangsu Suzhou 215006,China;Dept.of Pharmacy,the Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Dept.of Pharmacy,Zhaoqing First People’s Hospital,Guangdong Zhaoqing 526000,China;Dept.of Pharmacy,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450007,China;Dept.of Pharmacy,the Affiliated Huaian No.1 People’s Hospital,Jiangsu Huaian 223300,China;Dept.of Nephrology,the First Affiliated Hospital of Soochow University,Jiangsu Suzhou 215006,China;Dept.of Pharmacy,Guiyang Maternal and Child Health Care Hospital,Guiyang 550003,China)

机构地区：[1]苏州大学附属第一医院药学部,江苏苏州215006 [2]郑州大学第五附属医院药学部,郑州450052 [3]肇庆市第一人民医院药学部,广东肇庆526000 [4]郑州大学附属郑州中心医院药学部,郑州450007 [5]淮安市第一人民医院药学部,江苏淮安223300 [6]苏州大学附属第一医院肾内科,江苏苏州215006 [7]贵阳市妇幼保健院药剂科,贵阳550003

出　　处：《中国药房》2023年第21期2644-2648,共5页China Pharmacy

基　　金：江苏省医学重点学科项目(No.ZDXK202247);苏州市科技发展计划指导性项目(No.SKYXD2022017);江苏省药学会——恒瑞医院药学基金项目(No.H202032)。

摘　　要：目的 建立腹膜透析(PD)全程智慧化药学服务模式,为临床药师提供规范化PD药学服务提供参考。方法 调研分析国内外PD患者的药学服务模式,结合苏州大学附属第一医院(以下简称“我院”)实际情况,以“居家→PD中心门诊→住院部”为主要节点,优化药物重整循环流程。通过改良汉化版的药物相关问题(DRPs)分类工具,制定相应的药学服务流程,展示具体案例等方面阐述PD全程智慧化药学服务模式。结果 我院以药物治疗管理(MTM)平台为依托,构建了“在院药学监护(建档)-PD门诊MTM-居家药学服务(线上App管理)”的闭环PD全程智慧化药学服务模式,形成了“入院→出院→门诊”药物重整循环和“发现-分析-干预-随访-记录-评估”DRPs循环的“双循环”工作流程。结论 我院PD全程智慧化药学服务模式的建立为规范PD患者的药学服务提供了经验,可以减少DRPs。OBJECTIVE To develop a whole-process intelligent model of pharmaceutical care for peritoneal dialysis(PD) patients,and to provide a reference for clinical pharmacists to provide standardized PD pharmaceutical care.METHODS The pharmaceutical care mode of PD patients at home and abroad was investigated and analyzed.Based on the actual situation of the First Affiliated Hospital of Soochow University(hereinafter referred to as “our hospital”),with “home→PD center outpatient→inpatient department” as the main node,the recycling process of medication reconciliation was optimized.The whole-process intelligent pharmaceutical care model of PD was illustrated by improving the Chinese version of the drug-related problems(DRPs) classification tool,developing the corresponding pharmaceutical care process,and presenting specific cases.RESULTS Based on the medication therapy management(MTM) platform,our hospital had built a closed-loop PD whole-process intelligent pharmaceutical care model of “in-hospital pharmaceutical care(building document)-PD outpatient MTM-home pharmaceutical care(online App management)”.A “double cycle” workflow of “admission→discharge→outpatient” medication reconciliation cycle and “discovery-analysis-intervention-follow-up-record-evaluation” DRPs cycle was formed.CONCLUSIONS The establishment of the whole-process intelligent pharmaceutical care model for PD in our hospital provides experience for standardizing pharmaceutical care for PD patients,and can reduce DRPs.

关 键 词：腹膜透析 药学服务 工作模式 临床药师 药物重整 药物相关问题 药物治疗管理 

分 类 号：R952[医药卫生—药学]