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缺血性脑卒中患者慢病管理路径的建立及应用
Establishment and Application of Chronic Disease Management Pathway for the Patients with Ischemic Stroke
  
DOI:
中文关键词:  缺血性脑卒中  慢病管理  慢病管理路径  药学监护
英文关键词:Ischemic stroke  Chronic disease management  Chronic disease management pathway  Pharmaceutical care
基金项目:第二届“步长杯”临床药学科学研究基金项目(编号:20170202);武汉市医学科研项目(编号:WX18C28);长江航运总医院·武汉脑科医院“新技术、新业务”项目(编号:K20180024)
作者单位
向竹枝1 张倩睿1 彭慧2 王能全1 郑文霞1 吴方建1 1.长江航运总医院药剂科 武汉 4300102.武汉市儿童医院药学部 
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中文摘要:
      摘 要 目的:建立缺血性脑卒中患者慢病管理(CDM)路径,为神经内科临床药师开展药学监护提供新思路。方法:应用临床路径的原理和方法,按脑卒中药物治疗特点,以循证医学为依据制定脑卒中药物监护内容与路径。以临床药师为主导的临床医生、护士共同参与的药物治疗团队对50例缺血性脑卒中患者进行CDM,内容包括住院期间的CDM及出院后的随访。并与50例常规治疗模式的患者进行比较。结果:经过CDM的患者在6个月后随访时,生活方式改善率、对药物的认识,用药依从性、危险因素控制等方面均明显优于常规治疗患者。结论:临床药师参加CDM可明显提高CDM的效果。
英文摘要:
      ABSTRACT Objective: Establish a chronic disease management (CDM) path in patients with ischemic strokes, to provide the new idea for clinical pharmacists providing pharmaceutical care in neurology department. Methods:Applying the principles and methods of clinical pathway, according to the characteristics of stroke drugs, on the basis of evidence based medicine, the care contents of were established, and the pharmaceutical care pathway as formed. The care team was led by a clinical pharmacist, including doctors and nurses, CDM of 50 patients with ischemic strokes. CDM work has been compised of two parts: chronic disease management during hospitalization and follow up after discharge. And opposed to 50 patients with conventional treatment mode. Results:After 6 months of follow up, patients with CDM were significantly better than conventional patients in terms of lifestyle improvement rate, drug understanding, drug compliance, and risk factor control. Conclusion:Clinical pharmacists’ participation in CDM improved clinical effect.
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