临床营养药师会诊模式在营养支持治疗中的实践及效果评价  

Implementation and effectiveness evaluation of clinical nutrition pharmacist-involved consultation in nutrition support therapy

作　　者：李晴晴 董秀山 杨川丽 王孝敏 王燕[3] Li Qingqing;Dong Xiushan;Yang Chuanli;Wang Xiaomin;Wang Yan(Department of Pharmacy,Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital,Third Hospital of Shanxi Medical University,Taiyuan 030032,China;Department of Gastrointestinal Surgery,Shanxi Bethune Hospital,Shanxi Academy of Medical Sciences,Tongji Shanxi Hospital,Third Hospital of Shanxi Medical University,Taiyuan 030032,China;Department of Pharmacy,First Hospital of ShanXi Medical University,Taiyuan 030031,China)

机构地区：[1]山西白求恩医院(山西医学科学院同济山西医院)山西医科大学第三医院药学部,太原030032 [2]山西白求恩医院(山西医学科学院同济山西医院)山西医科大学第三医院胃肠外科,太原030032 [3]山西医科大学第一医院药学部,太原030001

出　　处：《中华临床营养杂志》2023年第5期284-289,共6页Chinese Journal of Clinical Nutrition

摘　　要：目的探讨建立营养药学会诊模式的必要性和可行性,评价临床营养药师会诊效果。方法收集山西白求恩医院2019年至2021年营养药学会诊病历,从患者资料、会诊量及分布、会诊目的与方案、会诊效果4个方面进行回顾性分析。结果通过规范的会诊流程和内容,2019年至2021年营养药学会诊数量和转药学门诊率呈逐年上升趋势,会诊意见平均采纳率为95.3%;营养风险筛查2002在3~6分的患者治疗有效率˃90%;肿瘤和老年患者、消化系统疾病患者营养受益最广。会诊目的逐渐向个体化营养方案的制定和调整倾斜,会诊后患者营养指标得到改善。结论大型综合医院对营养药学会诊需求度高,规范化会诊模式为全面深入的营养支持治疗服务提供可能。Objective To explore the necessity and feasibility of clinical nutrition pharmacist-involved consultation,and evaluate the impact on clinical outcome.Methods Patients who received the nutritional consultation involving pharmacists at Shanxi Bethune Hospital between 2019 and 2021 were retrospectively enrolled.Patient clinical characteristics,distribution,consultation purpose and nutrition management regimen,and clinical outcomes were collected and analyzed.Results There was increasing utilization of nutrition pharmacist-involved consultations and referrals to pharmacy clinic over the three years.An average of 95.3%of consultation advices were accepted.Over 90%of patients who were scored 3-6 points with Nutritional Risk Screening 2002 benefited from such consultations.Patients with tumors,elderly patients,and patients with digestive system disorders showed the most benefit from nutritional consultations.The purpose of consultation was focused on the development of individualized nutritional management plans,which brought about improvement in patient's nutritional indicators.Conclusion There is a strong demand for nutritional pharmacy consultation in large-scale comprehensive hospitals,and the standardized consultation workflow paves the way for comprehensive and individualized nutrition therapy.

关 键 词：营养药师 会诊 医保支付 

分 类 号：R459.3[医药卫生—治疗学]