【摘要】 目的评价欧洲医药保健网(PCNE)分类系统用于解决重症医学科(ICU)药物相关问题(DRPs)的效果。方法临床药师对2018年1月至2019年12月入住新疆医科大学附属中医医院的283例ICU患者出现DRPs进行干预,借助PCNE-DRPs分类方案V9.0对患者DRPs的"问题""原因""介入方案""介入方案的接受""DRPs状态"进行分类,采用JMP软件进行统计分析。结果 90例患者发生DRPs。DRPs的问题类别集中在"治疗安全性"及"治疗效果"。原因类别主要集中在"药物选择""剂量选择""治疗疗程""药物使用过程"。所有介入方案均体现在"医生层面"。介入方案的接受类别中"介入被接受"占97.8%;介入方案的状态类别中"问题解决"占87.8%。结论 PCNE分类系统的引入能提升临床药师发现和解决DRPs的能力,提高临床药师在药学监护的能力及效率,可促进临床合理用药,提高药学服务质量,保障患者安全用药。更多还原

【Abstract】 Objective To evaluate the effectiveness of pharmaceutical care network Europe(PCNE) classification system for solving drug-related problems(DRPs) in intensive care unit(ICU). Methods Clinical pharmacists interfered with DRPs in 283 ICU patients admitted to the Affiliated Traditional Medical Hospital, Xiniang Medical University from January2018 to December 2019. PCNE-DRPs classification system V9.0 was used to classify the “problem” “cause” “intervention plan” “acceptance of intervention plan” “DRPs status” of patients with DRPs, and JMP software was used for statistical analysis.Results DRPs occurred in 90 patients. The DRPs question categories focused on “safety of treatment” and “efficacy of treatment”. The reason categories mainly focus on“drug selection” “dose selection” “treatment course” “drug use process”.All interventions were at the “doctor level”. Among the acceptance category of intervention programs, “intervention acceptance” accounted for 97.8%; in the status category of intervention programs, “problem solving” accounted for87.8%. Conclusion The introduction of PCNE classification system can improve the ability of clinical pharmacists to discove and solve DRPs, improve the ability and efficiency of clinical pharmacists in pharmaceutical care, promote clinical rational drug use, inhance the quality of pharmaceutical service, and ensure the safe drug use of patients.更多还原