1例重度心力衰竭伴利尿剂抵抗患者的居家药学服务  

Home Care Pharmacy Practice in a Patient with Severe Heart Failure and Diuretic Resistance

作　　者：陈永庆 杨佳丹[1] 罗子琅 CHEN Yongqing;YANG Jiadan;LUO Zilang(Department of Pharmacy,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;College of Pharmacy,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 [2]重庆医科大学药学院,重庆400016

出　　处：《医药导报》2025年第5期796-800,共5页Herald of Medicine

基　　金：重庆市科卫联合中青年高端人才项目(2024GDRC012)。

摘　　要：目的对重度心力衰竭伴利尿剂抵抗患者开展居家药学服务,为医疗机构药师开展居家药学服务提供参考。方法临床药师作为家庭医生团队的一员,对1例重度心力衰竭伴利尿剂抵抗患者开展居家药学服务,包括药物治疗方案评估、药物重整、用药教育、用药咨询、医学知识科普、家庭药箱管理、健康生活方式引导等,同时采用线上线下相结合的方式进行定期随访。结果患者的用药依从性明显提高,心力衰竭症状改善,未出现不良反应。结论临床药师开展居家药学服务有助于患者疾病改善,降低患者发生药品不良反应和潜在用药错误的风险,促进患者安全、合理用药。Objective To provide a home care pharmacy for a patient with severe heart failure and diuretic resistance,and to provide a reference for healthcare pharmacists to carry out home care pharmacy practice.Methods As part of the family physician team,clinical pharmacists performed home care pharmacy practice on a patient with severe heart failure and diuretic resistance.This involved providing an assessment of medication regimen,medication reorganization,medication education,medication counseling,popularization of medical knowledge,management of the home medicine box,and guidance on a healthy lifestyle.Meanwhile,online and offline methods were adopted to conduct regular follow-up visits to the patient.Results The patient's medication adherence was dramatically improved,the symptoms of heart failure were improved,and no adverse reactions occurred.Conclusion Clinical pharmacists'home care pharmacy practice contributes to improving patients'diseases,reducing the risk of adverse drug reactions and potential medication errors,and promoting safe and rational drug use for patients.

关 键 词：居家药学服务 心力衰竭 利尿剂抵抗 临床药师 

分 类 号：R969.3[医药卫生—药理学] R541.6[医药卫生—药学]