今日药学

2021, v.31(05) 378-383

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嗜铬细胞瘤围手术期外科药师药学监护路径的建立和应用
Establishment and Application of Pharmaceutical Care Pathway in Perioperative Period of Pheochromocytoma for Surgical Pharmacists

曾卫强;刘妙雯;林素芬;谭惠简;黄文兴;肖大为;何海容;林祥毅;
ZENG Weiqiang;LIU Miaowen;LIN Sufen;TAN Huijian;HUANG Wenxing;XIAO Dawei;HE Hairong;LIN Xiangyi;Department of Pharmacy, Shunde Women and Children's Hospital of Guangdong Medical University;

摘要(Abstract):

目的探索外科药师在嗜铬细胞瘤围手术期开展药学监护的方法和工作模式。方法应用药学监护路径的原理和方法,按时间顺序将嗜铬细胞瘤围术期药学监护工作分成术前、术时和术后单元及患教单元,以循证药学(evidence-based medicine, EBM)为依据制定各单元的监护内容,形成嗜铬细胞瘤围术期药学监护路径(pharmaceutical care pathway, PCP)。结果外科药师在工作中以监护路径为导向,对嗜铬细胞瘤患者开展围手术期的药学监护工作,患者顺利完成嗜铬细胞瘤切除手术并出院,治疗过程未出现明显的血压波动治疗事件。结论外科药师通过建立药学监护路径,按路径开展药学监护工作,促进外科药师工作模式的规范化、标准化及流程化,为外科提供全面的、及时、恰当的药学服务。
OBJECTIVE To explore the method and mode of pharmaceutical care for surgical pharmacists during the perioperative period of pheochromocytoma. METHODS Using the principle and method of application of pharmaceutical care pathway, the perioperative pharmaceutical care of pheochromocytoma were divided into preoperative, intraoperative and postoperative units and patient education units in chronological order.Based on evidence-based medicine(EBM), the monitoring contents of each unit were formulated to form the perioperative pharmaceutical care pathway(PCP) for pheochromocytoma. RESULTS Surgical pharmacists carried out perioperative pharmaceutical care for pheochromocytoma patientsguided by the PCP in their work.And the patients were completed the pheochromocytoma resection successfully and discharged from the hospital.Without significant fluctuations in blood pressure were observed during the treatment. CONCLUSION By establishing a pharmaceutical care pathway, surgical pharmacists carry out pharmaceutical care work according to the path, promote the normalization, standardization and process of pharmaceutical care work, and provide comprehensive, timely and appropriate pharmaceutical care for surgeon.

关键词(KeyWords): 嗜铬细胞瘤;药学监护;药学监护路径;工作模式;外科药师
pheochromocytoma;pharmaceutical care;pharmaceutical care pathway;working mode;surgical pharmacists

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作者(Author): 曾卫强;刘妙雯;林素芬;谭惠简;黄文兴;肖大为;何海容;林祥毅;
ZENG Weiqiang;LIU Miaowen;LIN Sufen;TAN Huijian;HUANG Wenxing;XIAO Dawei;HE Hairong;LIN Xiangyi;Department of Pharmacy, Shunde Women and Children's Hospital of Guangdong Medical University;

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