急性心肌梗死的单病种国际临床照顾程序认证工作前后比较

摘要

Objective To analyze the effect of clinical pharmacists involving in JCI clinical care program certification-AMI(CCPC-AMI) on the compliance rates of clinical drug treatment guideline and the awareness rates of patient medication health education in cardiovascular.Methods Selected cases of acute myocardial infarction(AMI) from March to August in 2015 was as the former group,from September 2015 to March 2016 as the latter group in their hospital,then comparative analysis of two groups was done by statistical method.Results After clinical pharmacists involved in CCPC-AMI,the compliance rates of AMI clinical drug treatment guidelines (after the AMI diagnosis, the 10min was given aspirin, intensified statin therapy and dose selection, the use of ACEI/ARB before discharge and the use of beta blocker before discharge) were increased from 92.7% 67.9%,60.7%,51.8% to 98.1%,85.2%,94.4%,90.7%.The awareness rates of patient medication health education (awareness of safe medication, awareness of self-management, awareness of follow-up knowledge) were all increased to 100% from 75.0%,57.1%,82.1% before participation.Conclusion Clinical pharmacists who carried out pharmaceutical care,has played a critical role in quality control of AMI single disease through the preparing of CCPC-AMI evaluation.%目的 分析心血管临床药师在参与JCI标准下急性心肌梗死(AMI)临床照顾程序认证(JCI CCPC-AMI)工作前后,对临床药物治疗指南的遵从率和患者用药健康教育知晓率的影响.方法 选取鄂东医疗集团黄石市中心医院2015年3-8月AMI病例为参与前组,2015年9月-2016年3月AMI病例为参与后组,统计汇总,对比分析.结果 临床药师参与CCPC-AMI后,AMI患者临床药物治疗指南的遵从率(完善AMI诊断后10 min内服用阿司匹林、强化他汀治疗药物及剂量的选择正确与否、出院前使用ACEI/ARB情况是否正确、出院前是否使用β受体阻断药情况)从参与前的92.7%,67.9%,60.7%,51.8%上升至98.1%,85.2%,94.4%,90.7%;患者用药教育知晓率(是否知晓安全用药、是否知晓自我管理、是否知晓随访知识)从参与前的75.0%,57.1%,82.1%均上升至100%.结论 该院在JCI后创建CCPC-AMI过程中,临床药师开展药学服务对AMI单病种质量控制发挥了积极作用.