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首页> 外文期刊>Southern African Journal of Critical Care >The need for pharmaceutical care in an intensive care unit at a teaching hospital in South Africa
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The need for pharmaceutical care in an intensive care unit at a teaching hospital in South Africa

机译：南非一家教学医院的重症监护室对药物治疗的需求

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BACKGROUND: The role of the pharmacist has evolved over the last 2 decades beyond traditional functions such as stock control and dispensing. OBJETIVES: To describe the functions performed by a clinical pharmacist while based in a surgical and trauma intensive care unit of a teaching hospital. METHODS: An operational research study that included indications of programme success was conducted. Interventions to assess therapy and achieve definite outcomes to satisfy patients' medicine needs were documented for 51 patients over a study period of 8 weeks. RESULTS: A total of 181 interventions were suggested by the pharmacist, with 127 (70%) accepted and implemented by the medical and nursing staff of the unit. The most frequent interventions were related to: untreated medical conditions (15.5%), appropriate therapy or course (13.8%), investigations indicated or outstanding (12.2%), and inappropriate doses and dosing frequency (11%). Interventions were also made regularly to address system errors or non-compliance and factors hindering therapeutic effect. Of the 250 h the pharmacist spent in the ward, most time was used for pharmaceutical care (28%) and ward rounds (21%) with members of the multidisciplinary team. CONCLUSIONS: The study results demonstrated that a clinical pharmacist's contribution to patient care at ward level resulted in improved monitoring of pharmacotherapy. Medicine-related problems were identified and addressed.
机译：背景：在过去的20年中，药剂师的角色已经超越了传统功能（例如库存控制和分配）而发展。目的：描述临床药剂师在教学医院的外科和创伤重症监护室工作时所执行的功能。方法：进行了一项包括计划成功迹象的运筹学研究。在为期8周的研究期内，记录了51位患者的评估疗法并取得明确结果以满足患者药物需求的干预措施。结果：药剂师建议了181种干预措施，其中127种（占70％）被该单位的医护人员接受并实施。最频繁的干预措施涉及：未经治疗的医疗状况（15.5％），适当的治疗或疗程（13.8％），已表明或未完成的研究（12.2％）以及不适当的剂量和给药频率（11％）。还定期进行干预以解决系统错误或不合规以及妨碍治疗效果的因素。药剂师在病房中度过的250小时中，大部分时间用于与多学科团队成员进行药物护理（28％）和病房巡诊（21％）。结论：研究结果表明，临床药剂师在病房一级对患者护理的贡献可改善对药物治疗的监测。确定并解决了与医学有关的问题。

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