Schad R, Schneider P J, Nold E G
Am J Hosp Pharm. 1979 Sep;36(9):1212-4.
A three-step, pharmacist-taught education program for adrenalectomy patients is described. Twenty-three patients were trained during the two years of the project. Training included: (1) an explanation of the patient's disease state and need for supplementary medication; (2) an explanation of each medication taken; and (3) training on self-administration of an i.m. dose of dexamethasone. Blue Cross agreed to pay the hospital ø25 per patient trained. Thirteen patients were available for interviews designed to evaluate the program. All patients knew the signs and symptoms of adrenal crisis and had excellent recall of information about their medication. Eight patients had increased their oral steroid doses as instructed to avoid adrenal insufficiency during stress. Substantial cost savings resulted from the program. The costs saved by offering the program justified the cost of supplying the service.
本文描述了一个由药剂师指导的针对肾上腺切除术患者的三步教育计划。在该项目的两年时间里，对23名患者进行了培训。培训内容包括：（1）解释患者的疾病状况以及补充药物的必要性；（2）解释所服用的每种药物；（3）进行肌肉注射地塞米松自我给药的培训。蓝十字保险公司同意为每位接受培训的患者向医院支付25 ø。有13名患者接受了旨在评估该计划的访谈。所有患者都了解肾上腺危象的体征和症状，并且对有关其药物的信息记忆良好。8名患者按照指示增加了口服类固醇剂量，以避免在应激期间出现肾上腺功能不全。该计划带来了可观的成本节约。提供该计划所节省的成本证明了提供这项服务的成本是合理的。
