为从儿科住院医师服务中出院的患者实施便秘行动计划。
Implementation of a Constipation Action Plan for Patients Discharged From a Pediatric Hospitalist Service.
作者信息
Allison Andrew, Sweet Courtney, Knopp Melissa
出版信息
J Pediatr Pharmacol Ther. 2021;26(7):718-722. doi: 10.5863/1551-6776-26.7.718. Epub 2021 Sep 24.
OBJECTIVE
The objective of this study was to determine the effect of a pharmacist-led constipation action plan on the rate of health care utilization.
METHODS
We conducted a prospective research study of patients 2 to 18 years of age admitted to a pediatric hospitalist service for constipation. A study pharmacist developed a patient-specific constipation action plan for each enrolled patient. Data were collected from the electronic medical record, patient/caregiver interview, and follow-up phone calls completed by a pharmacist. The primary outcome was to determine the effect of a pharmacist-led constipation action plan on the rate of health care utilization.
RESULTS
Twenty-seven patients were enrolled in the study. Median (range) age was 9 (2-18) years. Health care utilization of the entire study population decreased from approximately 8.7 encounters per month prior to implementation to approximately 3 encounters per month after implementation. Patients also reported an increase in daily bowel movements from approximately 1 per day prior to implementation to 2 per day post implementation.
CONCLUSIONS
Health care utilization appeared to decrease after implementation of a patient-specific, pharmacist-led constipation action plan.
目的
本研究的目的是确定由药剂师主导的便秘行动计划对医疗保健利用率的影响。
方法
我们对因便秘入住儿科住院医师服务的2至18岁患者进行了一项前瞻性研究。研究药剂师为每位入组患者制定了针对个体的便秘行动计划。数据从电子病历、患者/护理人员访谈以及药剂师完成的随访电话中收集。主要结果是确定由药剂师主导的便秘行动计划对医疗保健利用率的影响。
结果
27名患者入组本研究。年龄中位数（范围）为9（2 - 18）岁。整个研究人群的医疗保健利用率从实施前每月约8.7次就诊降至实施后每月约3次就诊。患者还报告每日排便次数从实施前的约每天1次增加到实施后的每天2次。
结论
实施针对个体、由药剂师主导的便秘行动计划后，医疗保健利用率似乎有所下降。
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