中国临床药学杂志2025，Vol.34Issue(3)：174-180,7.DOI:10.19577/j.1007-4406.2025.03.003
药师参与的营养支持多学科诊疗模式对肿瘤患者营养支持治疗的影响
Impact of pharmacist participation in a multidisciplinary team on the quality of nutritional support therapy for cancer patients
摘要
Abstract
AIM To explore the effectiveness of the pharmacist-involved multidisciplinary team(MDT)model in improving the quality of nutrition support therapy for cancer patients.METHODS A total of 68 112 hospitalized cases were collected at our institution from 2021 to 2023,comprising 23 281 cases in 2021,19 530 in 2022,and 25 301 in 2023.In 2023,3 204 cancer-diagnosed cases were documented hospital-wide,of which 2 141 cases were managed by core oncology departments:Medical Oncology,General Surgery Ward Ⅱ(Oncology Surgery Department),and Radiotherapy Department.The study evaluated the implementation of the pharmacist-integrated MDT model for nutritional support by analyzing the following parameters across the entire hospital and major oncology departments:nutritional risk screening compliance,utilization patterns of enteral nutrition(EN)and parenteral nutrition(PN),pharmaceutical care interventions and prescription review outcomes.RESULTS From 2021 to 2023,significant improvements were observed in nutritional assessment and intervention practices.The utilization rate of the nutritional risk screening 2002(NRS-2002)scale increased from 26.92％to 63.57％hospital-wide and from 26.70％to 94.39％in major oncology departments.Concurrently,the adoption proportion of the patients using patient-generated subjective global assessment(PG-SGA)tool rose from 0.53％to 3.31％hospital-wide and from 4.45％to 32.93％in oncology departments.While the overall EN/PN treatment rate decreased hospital-wide(EN:from 14.06％to 12.38％;PN:from 0.97％to 0.83％),the proportion of high-risk patients(NRS-2002 score ≥ 3)receiving EN/PN interventions increased from 1.60％to 4.95％.In contrast,the overall EN/PN treatment rate in the main oncology department increased(EN:from 17.19％to 24.66％;PN:from 3.46％to 4.58％),the proportion of high-risk patients(NRS-2002 score ≥ 3)receiving EN/PN interventions also increased from 4.91％in 2021 to 26.53％in 2023.Notably,in 2023,the Radiotherapy Department achieved the highest EN/PN treatment rate(45.31％),while General Surgery Ward Ⅱ attained full compliance(100.00％)with pharmacy intravenous admixture services(PIVAS)-prepared total nutrient admixtures(TNA).CONCLUSION The MDT model for nutritional support with pharmacists'participation could increase the coverage rate of nutritional risk screening and improve the efficiency and rationality of nutritional support therapy.The high-level involvement of specialized clinical pharmacists could ensure the efficacy of nutritional support therapy for cancer patients.关键词
营养评估与筛查/营养支持治疗/多学科诊疗/药师/肿瘤患者Key words
nutrition screening and evaluation/nutritional support therapy/multidisciplinary team/pharmacists/cancer patients分类
药学引用本文复制引用
孙大可,王颖,何素梅,张冠英,徐银丽..药师参与的营养支持多学科诊疗模式对肿瘤患者营养支持治疗的影响[J].中国临床药学杂志,2025,34(3):174-180,7.基金项目
苏州市科技发展计划(医疗卫生科技创新-应用基础研究)(编号SKJYD2021157) （医疗卫生科技创新-应用基础研究）
苏州市高新区卫生人才-青年拔尖人才项目 （）
