Department of Pharmacy, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong 510060. China..
GuangDong Pharmaceutical Association, Guangzhou, Guangdong 510080. China..
Farm Hosp. 2022 May 27;46(4):256-259.
Surgery plays an irreplaceable role in the prevention, diagnosis, staging, reconstruction, and rehabilitation in the overall management of cancer. Nevertheless, it is difficult for surgeons and nurses to take into account the details of medication management, considering the impact of surgery on the patient's physical function and the complexity of anti-tumor treatment with comorbidity. The pharmaceutical care services previously provided by pharmacists in oncology focus more on the internal medicine system, not widely the surgical field. At present, the pharmaceutical working mode in oncology surgery has not well been formed around China, and the whole process medication management needs to be improved. In 2015, the GuangDong Pharmaceutical Association came up with the concept of surgical pharmacist in China and subsequently created its position. In 2021, the GuangDong Pharmaceutical Association established a new discipline termed "surgical pharmacy", which is the knowledge system of surgical pharmacists, and also tried to differentiate surgical pharmacy into diverse areas, such as oncology surgical pharmacy. This article introduced a working mode of surgical pharmacists in China that providing pharmaceutical care services in perioperative period around anti-tumor, anti- infection, anesthesia, anticoagulation, blood pressure, blood glucose, nutrition, and pain management, to improve quality of life for patients.
外科手术在癌症的整体管理中预防、诊断、分期、重建和康复方面发挥着不可替代的作用。然而,考虑到手术对患者身体功能的影响以及合并症抗肿瘤治疗的复杂性,外科医生和护士很难顾及药物管理的细节。以前,肿瘤学药师提供的药学服务更多地侧重于内科系统,而不是广泛的外科领域。目前,中国的肿瘤外科手术中的药学工作模式尚未形成,整个过程的药物管理需要改进。2015 年,广东省药学会在中国提出了外科药师的概念,并随后设立了该职位。2021 年,广东省药学会建立了一个名为“外科药学”的新学科,这是外科药师的知识体系,并试图将外科药学区分成不同的领域,如肿瘤外科药学。本文介绍了中国外科药师的工作模式,即在抗肿瘤、抗感染、麻醉、抗凝、血压、血糖、营养和疼痛管理的围手术期提供药学服务,以提高患者的生活质量。