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題 名 | 藥舞長安--高齡長者藥事服務=Pharmaceutical Care in the Elderly |
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作 者 | 李季黛; 陳妙婷; 陳淑梅; 梁志光; 周明岳; | 書刊名 | 藥學雜誌 |
卷 期 | 29:4=117 2013.12[民102.12] |
頁 次 | 頁148-152 |
分類號 | 418.1 |
關鍵詞 | 高齡長者; 藥事照護; 用藥安全; 服藥配合度; Polypharmacy; |
語 文 | 中文(Chinese) |
中文摘要 | 醫療人員往往將高齡長者列為用藥的高風險族群,因對高齡長者而言,藥物治療的風險較年輕人來的高。本計畫之藥事服務期望經藥師參與高齡團隊,能增進高齡長者之健康照護品質。 藥師由藥事照護觀點去發現、解決和預防患者用藥有關之治療問題,與醫師或患者討論,擬定照顧計畫及療效追蹤指標,使藥物治療達到符合適應症、有效、安全、配合度高的目標。 『藥舞長安』計畫執行期間 2012年4月到 12月,選擇本院高齡醫學科門診之高齡病人,由至少 2位藥師 (並請社區居家藥師協助 )執行藥事照護服務。藥師提供建議做為醫師診療參考,醫師並就藥師建議進行回饋;在病人暨家屬用藥教育方面,強調以「病人為中心」評估所有的用藥 (包含處方藥、成藥、中藥、草藥或健康食品 )問題,並做出專業建議,強調協助患者使用處方藥物或非藥物療法,加強服藥配合度。此計畫共服務 371位高齡長者,服務次數 1093次,提供疾病生活衛教 187次,提供用品增加配合度 209次。 站在高齡長者就醫的角度,細細思量,不管是有家屬陪伴,或是獨自前來就診的高齡長者,其就診、領藥、服藥、或是家中儲藥環境,在「高齡藥事照護」服務的計畫中,皆能獲得細心、耐心、關心、同理心及尊重的妥善照護。 |
英文摘要 | Patients over 65 years old are always considered as high-risk population for medication use, because higher possibilities of inappropriate prescription are frequently encountered. This study is aimed to evaluate if pharmaceutical services provided in the multidisciplinary team of geriatric medicine maintain and/or enhance the quality of life of the elderly. Pharmacists provide pharmaceutical care, including identification, resolution, and prevention of drug-related problems. By discussing with both the patients and doctors, a care plan is thus made to ensure therapeutic goal (most effectiveness with appropriate indication) is achieved, patient convenience is met, and patient safety is guarded. The study recruited all the patients (≥65 year-old) who sought medical advices in the geriatric clinics at Kaohsiung Veteran General Hospital between April and December, 2012. At least 2 pharmacists were dedicated to the pharmaceutical service for 1 patient, and the service was divided into two parts as to set up plan for pharmaceutical care and to feedback. Firstly pharmacists collected data regarding medication history and current medication, evaluated patient's compliance and drug related problems, discussed with doctors the treatment plan (offered by visiting doctors), implemented care plan, and followed up for treatment outcome. Second, pharmacists evaluated the results of the treatment (pharmaceutical care) and the problems encountered, discussed with the doctors, and made the improvement plan for follow-ups. A total of 1,093 services were provided to 371 patients (mean age: 81.2; female: 36.7%) including 187 sessions of health education and 209 auxiliaries to increase patient compliance. In conclusion, pharmaceutical service is helpful for the enhancement of quality of medical treatment for the elderly. |
本系統中英文摘要資訊取自各篇刊載內容。