中国药房2016，Vol.27Issue(35)：5017-5020,4.DOI:10.6039/j.issn.1001-0408.2016.35.41
抗肿瘤药物药学监护路径的建立和应用
Establishment and Application of Pharmaceutical Care Pathway for the Anti-tumor Drugs
曾卫强 1曲云婷 1闫其星 2赵德华 3劳海燕 1曾英彤 1杨敏1
作者信息
- 1. 广东省人民医院药学部/广东省医学科学院，广州 510080
- 2. 海南省农垦总医院药学部，海口 570311
- 3. 绵阳市第三人民医院药学部，四川绵阳621000
- 折叠
摘要
Abstract
OBJECTIVE:To provide the new idea for clinical pharmacists providing pharmaceutical care in oncology depart-ment. METHODS:Applying the principles and methods of clinical pathway,the pharmaceutical care of anti-tumor drugs could be divided into before medication,during medication,after medication and patient education,according to the sequence of taking med-icine. On the basis of evidence-based medicine,the care contents of each unit were established,and the pharmaceutical care path-way (PCP) was formed. During chemotherapy duration for a breast cancer metastasis patient with liver function injury,clinical pharmacists conducted pharmaceutical care for drug pretreatment,ADR monitoring and disposal,patient education,as well as put forward the proposal of drug treatment as supplementing calcium,adjusting the dose of epirubicin and paclitaxel targeting on PCP of zoledronic acid,epirubicin and paclitaxel. RESULTS:Physicians adopted the pharmacist’s recommendations. The patient suf-fered from joint and muscle pain during chemotherapy,and the symptom was relieved after symptomatic treatment by celecoxib;chest and back discomfort was relieved significantly after chemotherapy,and the disease condition kept stable. The patient was dis-charged from the hospital. CONCLUSIONS:PCP focus on the time,content and countermeasures of pharmaceutical care,the pro-gram and treatment results of pharmaceutical care,and promote standardization,formalization,simplification and procedure of pharmaceutical care. Clinical pharmacists conduct individualized pharmaceutical care rapidly targeting on PCP so as to deepen the communication of clinical pharmacists with physicians,nurses and patients,and promote the development of pharmaceutical care smoothly.关键词
临床药师/抗肿瘤药物/药学监护/药学监护路径Key words
Clinical pharmacist/Anti-tumor drugs/Pharmaceutical care/Pharmaceutical care pathway分类
医药卫生引用本文复制引用
曾卫强,曲云婷,闫其星,赵德华,劳海燕,曾英彤,杨敏..抗肿瘤药物药学监护路径的建立和应用[J].中国药房,2016,27(35):5017-5020,4.
