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通过药物治疗计划记录教育提高临床药师在肿瘤护理中的表现:一项前后对照干预性研究。

Improving Clinical Pharmacist Performance in Oncology Care Through Education on Pharmaceutical Care Plans Documentation: A Pre-post Interventional Study.

作者信息

Ali Tasbiha, Siddiqui Adeel, Bhutta Omar Akhlaq, Mazhar Saba, Usman Aleeshba, Raza Irfan, Pathak Nabin, Shrestha Sunil

机构信息

Department of Pharmacy, Shaukat Khanum Memorial Cancer Hospital & Research Centre, Lahore, Pakistan.

Drug Information Unit and Pharmacovigilance Cell, Department of Pharmacy, Hetauda Hospital, Madan Bhandari Academy of Health Sciences, Hetauda, Bagmati Province, Nepal.

出版信息

Inquiry. 2025 Jan-Dec;62:469580251335819. doi: 10.1177/00469580251335819. Epub 2025 May 14.

DOI:10.1177/00469580251335819
PMID:40366352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12078956/
Abstract

Clinical pharmacists are vital in oncology care as they are involved in optimizing pharmaceutical care plans (PCPs). Their involvement in medication management and accurate documentation assists in the care of cancer patients. This study aims to evaluate the impact of a targeted educational intervention for clinical pharmacists on both the quantity and quality of PCP documentation, providing insights into optimizing pharmaceutical care within an oncology setting. A descriptive pre-post study was done at Shaukat Khanum Memorial Cancer Hospital & Research Centre, Lahore. Data on admitted patients' PCPs from November 2023 to March 2024 were collected from the Hospital Information System. PCP documentation was evaluated following the educational intervention on clinical pharmacy staff, and the improvement in the documentation among the specialties section was analyzed using a one-tailed -test. The study assessed a total of 120 patients during the pre-intervention phase and 382 patients post-intervention. In the pre-intervention phase, the mean ± SD age of patients was 36.1 ± 20.1 years, with males constituting 57.5% and females 42.5%. Post-intervention, the mean ± SD age slightly increased to 37.3 ± 20.7 years, with a similar gender distribution of 58.9% males and 41.1% females. The intervention significantly increased the number of PCPs from 130 in the pre-intervention phase to 516 in the post-intervention phase, particularly in Adult Oncology ( = .0115) and Palliative Care ( = .0095). Post-intervention, a substantial enhancement in the documentation and management of PCPs was observed. The study demonstrates that structured educational interventions significantly enhance the clinical pharmacists' documentation of PCPs. By integrating targeted training with continuous reinforcement strategies, healthcare institutions can optimize pharmaceutical care processes, improve interdisciplinary collaboration, and ultimately enhance patient safety in oncology settings.

摘要

临床药师在肿瘤护理中至关重要,因为他们参与优化药学护理计划(PCP)。他们在药物管理和准确记录方面的参与有助于癌症患者的护理。本研究旨在评估针对临床药师的定向教育干预对PCP记录的数量和质量的影响,为优化肿瘤环境中的药学护理提供见解。在拉合尔的绍卡特·汗姆纪念癌症医院和研究中心进行了一项描述性前后研究。从医院信息系统收集了2023年11月至2024年3月收治患者的PCP数据。在对临床药学人员进行教育干预后,对PCP记录进行了评估,并使用单尾检验分析了专科部分记录的改善情况。该研究在干预前阶段共评估了120名患者,干预后评估了382名患者。在干预前阶段,患者的平均年龄±标准差为36.1±20.1岁,男性占57.5%,女性占42.5%。干预后,平均年龄±标准差略有增加至37.3±20.7岁,性别分布相似,男性占58.9%,女性占41.1%。干预显著增加了PCP的数量,从干预前阶段的130份增加到干预后阶段的516份,特别是在成人肿瘤学(P =.0115)和姑息治疗(P =.0095)方面。干预后,观察到PCP的记录和管理有了显著改善。该研究表明,结构化教育干预显著提高了临床药师对PCP的记录。通过将定向培训与持续强化策略相结合,医疗机构可以优化药学护理流程,改善跨学科协作,并最终提高肿瘤环境中的患者安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b25/12078956/387ae6b6abba/10.1177_00469580251335819-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b25/12078956/ec2715763a9d/10.1177_00469580251335819-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b25/12078956/387ae6b6abba/10.1177_00469580251335819-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b25/12078956/ec2715763a9d/10.1177_00469580251335819-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b25/12078956/387ae6b6abba/10.1177_00469580251335819-fig2.jpg

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本文引用的文献

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尼泊尔的儿科肿瘤服务:特别关注药学实践。
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