药师对1例转移性乳腺癌术后伴癌痛患者的药学监护
投稿时间:2021-01-25  修订日期:2021-05-20  点此下载全文
引用本文:卢进,赵新才,陈蓓蓉,赵赟,王婧,霍炎.药师对1例转移性乳腺癌术后伴癌痛患者的药学监护[J].药学实践杂志,2021,39(4):359~361
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作者单位E-mail
卢进 上海交通大学附属第六人民医院药剂科上海 200233  
赵新才 上海交通大学附属第六人民医院药剂科上海 200233  
陈蓓蓉 上海交通大学附属第六人民医院药剂科上海 200233  
赵赟 上海交通大学附属第六人民医院药剂科上海 200233  
王婧 上海交通大学附属第六人民医院药剂科上海 200233  
霍炎 上海交通大学附属第六人民医院药剂科上海 200233 huoyan@sjtu.edu.cn 
基金项目:国家自然科学基金青年项目(81603082);上海卫健委卫生行业临床研究专项基金青年项目(20194Y0052);上海市第六人民医院临床研究专项基金(ynlc201826)
中文摘要:目的 通过参与1例癌症疼痛患者的药物治疗和药学监护过程,临床药师参与制订药物治疗方案,并提出合理化用药建议,同时对患者进行健康教育,以减少或避免药物不良反应的发生。方法 药师通过参与审方、发现问题,对不当处方及时干预,与医生沟通、更改用药方案,对患者进行健康教育等方式,参与患者的药学监护过程。结果 在药师的干预下,医生更改用药方案,患者接受健康教育,并正确用药,成功地避免了不良反应的发生。结论 药师通过参与1例转移性乳腺癌术后癌痛患者的药物治疗不当处方的干预,给予患者全方位药学监护,体现了药师在药学监护中的地位和重要性。
中文关键词:癌痛  镇痛药物  药师  药学监护
 
Pharmaceutical care for a patient with cancer pain after surgery for metastatic breast cancer
Abstract:Objective By participating in the process of drug treatment and pharmaceutical monitoring for a patient with cancer pain, clinical pharmacists participated in formulating drug treatment plans and proposed rational medication recommendations. At the same time, patients were given health education to reduce or avoid adverse drug reactions.Methods Pharmacists participate in the process of pharmacy monitoring of patients by participating in the review of prescriptions, discovering problems, intervening in time for improper prescriptions, communicating with doctors, changing medication plans, and providing health education to patients.Results Physicians accepted the suggestions of pharmacists and modified the medication regimen. The patient's condition improved. Conclusion The pharmacist participated in the intervention of an improperly prescribed medication for a patient with metastatic breast cancer postoperative cancer pain, and gave the patient a full range of pharmaceutical care, which reflects the importance of the pharmacist in pharmaceutical care.
keywords:pain  analgesics  pharmacist  pharmaceutical care
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