临床药师对住院高血压患者实施标准化管理的实践  

Practice of Clinical Pharmacists in Implementing Standardized Management of Inpatients With Hypertension

作　　者：胡安新[1] 姚荣 刘旭杰 杜霞 徐冬梅[3] HU Anxin;YAO Rong;LIU Xujie;DU Xia;XU Dongmei(Department of Clinical Pharmacy,Ji'nan Third People's Hospital,Ji'nan Shandong 250132,China;Ward,Licheng District Guodian Street Office Community Health Service Center,Ji'nan City,Ji'nan Shandong 250109,China;Department of Cardiology,Ji'nan Third People's Hospital,Ji'nan Shandong 250132,China)

机构地区：[1]济南市第三人民医院临床药学科,山东济南250132 [2]济南市历城区郭店街道办事处社区卫生服务中心病房,山东济南250109 [3]济南市第三人民医院心内科,山东济南250132

出　　处：《中国卫生标准管理》2024年第7期145-148,共4页China Health Standard Management

摘　　要：高血压是一种常见慢性病,若未及时有效治疗,可损伤心、脑、肾这些重要脏器的结构和功能,其导致的临床并发症不仅致残、致死率高,且消耗很多的医疗和社会资源,给家庭和社会造成巨大的负担。高血压患者通常需要长时间的标准化治疗方能达到控制血压,延缓、降低靶器官损害及临床并发症发生等目的;但由于患者难以得到科学、系统、标准化的药学服务,因此该类患者对疾病、药物治疗知识认知不足,不合理用药情况多见,存在大量误区,导致药物治疗的依从性差,最终无法达到降压目标,影响整体治疗效果。基于以上原因,笔者在住院高血压患者标准化管理方面进行了研究并进行总结,旨在探索建立针对高血压患者的药学服务模式,为今后临床药师开展慢病管理工作提供参考。Hypertension is a common chronic disease.If it is not treated in time and effectively,it can damage the structure and function of important organs such as heart,brain and kidney.The clinical complications caused by hypertension not only cause disability and high mortality,but also consume a lot of medical and social resources,causing a huge burden to families and society.Hypertensive patients usually need a long time of standardized treatment to achieve the purpose of controlling blood pressure,delaying and reducing target organ damage and clinical complications.However,because it is difficult for patients to obtain scientific,systematic and standardized pharmaceutical care,such patients have insufficient knowledge of disease and drug treatment.Irrational drug use is common,and there are a lot of misunderstandings,resulting in poor compliance with drug treatment,and ultimately unable to achieve the goal of lowering blood pressure,affecting the overall treatment effect.Based on the above reasons,the author studied and summarized the standardized management of hospitalized patients with hypertension,aiming to explore the establishment of a pharmaceutical service model for patients with hypertension,and provide reference for clinical pharmacists to carry out chronic disease management in the future.

关 键 词：临床药师 高血压患者 标准化管理 合理用药 依从性 控制率 

分 类 号：R541[医药卫生—心血管疾病]