Pawłowska Iga, Pawłowski Leszek, Lichodziejewska-Niemierko Monika
Chair and Department of Pharmacology, Medical University of Gdańsk, Gdańsk, Poland.
Department of Palliative Medicine, Medical University of Gdańsk, Gdańsk, Poland.
Eur J Hosp Pharm. 2016 Mar;23(2):106-112. doi: 10.1136/ejhpharm-2015-000730. Epub 2015 Oct 13.
Palliative care requires the collaborative efforts of an interdisciplinary team, and as such a range of health professionals should be involved in supporting patients with life-threatening diseases. As a part of this therapeutic network, pharmacists at residential hospices should be thoroughly involved in care, cooperate with other medical staff and perform pharmaceutical services in order to deliver safe and efficient pharmacotherapy.
To provide an overview of the current state of pharmacy practice at Polish residential hospices.
A cross-sectional study was applied and three types of anonymous questionnaires were developed to collect data. Hospice directors, pharmacists and physicians from all residential hospices in Poland were invited to participate.
19 (61%) hospices collaborate with at least one pharmacist, who performs pharmaceutical services on the premises. 12 (75%) pharmacists provide advice concerning medicines and 11 (69%) are involved in various roles related to procurement, dispensing and storage of drugs, as well as creating procedures for these activities. Despite pharmacists' great level of involvement in drug policy, most of them are not members of the therapeutic team and they do not participate in ward rounds. Furthermore, the provision of clinical pharmaceutical services forms a minority of Polish hospital pharmacy practice.
Although the role of a hospice-based pharmacist is focused on the provision of drugs, it should become more clinical, that is, more patient oriented. The data obtained should be used as a source of information for implementing potential changes to palliative care pharmacy.
姑息治疗需要跨学科团队的协作努力，因此，一系列卫生专业人员应参与支持患有危及生命疾病的患者。作为这个治疗网络的一部分，住院临终关怀机构的药剂师应全面参与护理工作，与其他医务人员合作并提供药学服务，以提供安全有效的药物治疗。
概述波兰住院临终关怀机构药学实践的现状。
采用横断面研究方法，设计了三种类型的匿名问卷来收集数据。邀请了波兰所有住院临终关怀机构的主任、药剂师和医生参与。
19家（61%）临终关怀机构与至少一名在机构内提供药学服务的药剂师合作。12名（75%）药剂师提供用药建议，11名（69%）参与与药品采购、调配和储存相关的各种工作，以及制定这些活动的程序。尽管药剂师在药物政策方面参与度很高，但他们中的大多数不是治疗团队的成员，也不参与查房。此外，临床药学服务在波兰医院药学实践中占比很小。
尽管住院临终关怀机构药剂师的角色主要集中在提供药品方面，但应更具临床性，即更以患者为导向。所获得的数据应用作实施姑息治疗药学潜在变革的信息来源。
