Jefferies Kristen A, Bromberg Mark B
Department of Pharmacy Services, University of Utah Healthcare, 50 North Medical Drive, Salt Lake City, UT 84132, USA.
Amyotroph Lateral Scler. 2012 Feb;13(2):233-6. doi: 10.3109/17482968.2011.636449.
Patients with ALS have complicated medication regimens and many questions about medications. Our multidisciplinary ALS clinic includes a clinical pharmacist, and the purpose of this study was to assess the types and outcomes of consultative interactions. This was a prospective, data collection study of patients seen by the pharmacist at a single ALS clinic visit. The following data were obtained: 1) current medications; 2) number and types of pharmacy interventions; 3) amount of time spent by the pharmacist with each patient. Thirty-seven patients were included. The average number of prescriptions used per patient was 3.59 (0-10) with 1.75 (0-9) used for ALS related indications. The average number of pharmacist interventions was two per patient, with the majority related to medication monitoring and optimizing drug therapy for ALS symptoms. The pharmacist provided education on an average of 2.5 topics per patient. The pharmacist spent an average of 21 (5-50) min with each patient. In conclusion, a clinical pharmacist contributes to the team by: 1) optimizing drug therapy for ALS symptoms; 2) providing medication-related education to patients; 3) allowing more time for the neurologist to attend to neurologic issues; and 4) discussing general medicine issues.
肌萎缩侧索硬化症（ALS）患者的用药方案复杂，对药物也有诸多疑问。我们的多学科ALS诊所配备了一名临床药剂师，本研究旨在评估咨询互动的类型和结果。这是一项针对药剂师在单次ALS诊所就诊时所接待患者的前瞻性数据收集研究。收集了以下数据：1）当前用药情况；2）药学干预的数量和类型；3）药剂师与每位患者相处的时间。共纳入37名患者。每位患者平均使用的处方数量为3.59（0 - 10）张，其中1.75（0 - 9）张用于ALS相关适应症。药剂师平均每位患者进行两次干预，大多数干预与药物监测以及优化ALS症状的药物治疗有关。药剂师平均为每位患者提供2.5个主题的教育。药剂师平均与每位患者相处21（5 - 50）分钟。总之，临床药剂师通过以下方式为团队做出贡献：1）优化ALS症状的药物治疗；2）为患者提供与药物相关的教育；3）让神经科医生有更多时间处理神经学问题；4）讨论普通医学问题。
