McGinty M K, Chase S L, Mercer M E
Department of Pharmacy, Thomas Jefferson University Hospital, Philadelphia, PA 19107.
Am J Hosp Pharm. 1988 Jul;45(7):1545-8.
A cooperative pharmacy-nursing program for discharge medication counseling for cardiac patients that uses printed medication teaching cards is described. A pharmacy-nursing working group had determined that a formal program for discharge medication counseling was needed, and a pilot program was implemented on the cardiopulmonary-care units. Medication teaching cards were developed for commonly prescribed cardiac medications. Because the cardiologists who reviewed the completed cards were worried that widespread dissemination of the cards would cause some patients to suffer undue anxiety about adverse effects, a standard order form was developed so that physicians could order specific cards for patients. Patients who receive medications included in the program are counseled by a registered nurse; pharmacists occasionally are called upon to answer specific questions or to actually provide the counseling. In the first six months of the program, 86 patients received an average of three cards each. Although no formal evaluation of the program has been performed, feed-back from patients has been favorable and plans to expand the program to include more drugs and other types of patients are in effect. A cooperative pharmacy-nursing program for discharge medication counseling using printed information has proved to be an effective and efficient way of sharing necessary drug information with patients.
本文介绍了一项针对心脏病患者出院用药咨询的药房 - 护理合作项目，该项目使用印刷的用药教学卡片。一个药房 - 护理工作小组确定需要一个正式的出院用药咨询项目，并在心肺护理病房实施了一个试点项目。针对常用的心脏药物制作了用药教学卡片。由于审核完卡片的心脏病专家担心卡片的广泛传播会使一些患者对不良反应产生过度焦虑，因此制定了一份标准订单表格，以便医生可以为患者订购特定的卡片。接受该项目中所包含药物治疗的患者由注册护士进行咨询；药剂师偶尔会被要求回答特定问题或实际提供咨询服务。在该项目的前六个月，86名患者平均每人收到三张卡片。虽然尚未对该项目进行正式评估，但患者的反馈良好，并且正在实施将该项目扩展到包括更多药物和其他类型患者的计划。事实证明，一个使用印刷信息进行出院用药咨询的药房 - 护理合作项目是与患者分享必要药物信息的一种有效且高效的方式。
