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題名 | 藥事照護介入失能者口腔照顧計畫之初探=A Preliminary Investigation of Pharmaceutical Intervention in an Oral Healthcare Project for Persons with Disability |
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作者姓名(中文) | 鍾慧; 楊瑛碧; 高木榮; | 書刊名 | 藥學雜誌 |
卷期 | 34:3=136 2018.09[民107.09] |
頁次 | 頁152-157 |
分類號 | 418.1 |
關鍵詞 | 藥事照護; 口腔照顧; 失能者; Pharmaceutical intervention; Oral healthcare; Disability; |
語文 | 中文(Chinese) |
中文摘要 | 目的:身心障礙者需仰賴照護者提供口腔照護健康,同時隨著年齡上升,原有障 礙伴隨慢性疾病發生,可能導致用藥需求上升,尤其在接受口腔侵入性照顧的同時, 容易因藥物相關問題造成風險上升,因此本文以某區域醫院藥師經驗進行成效討論。 方法:本研究由2017年1月1日至2017年12月31日,共納入193位個案資料分析。由 牙科成立單一窗口接受社區牙醫診所、健康服務中心轉診社區身障病友,並與藥劑科 藥師共同提供團隊「到宅醫療」服務。 結果:針對可能影響口腔照護成效的潛在不適當用藥行為,藉由藥師介入改善151 件藥物使用合理性及必要性,衛教病人及照顧者疾病控制與使用藥物應注意事項,或 是執行居家/機構用藥安全環境檢視共162件,侵入性牙科治療前,藥師提出延長凝血 功能用藥「需評估是否需要停藥」建議共71件。 結論:透過牙醫師與藥師合作,除了提升自我照護口腔能力外,更降低藥物造成 的意外風險發生,獲得更安全的醫療照護環境。 |
英文摘要 | Objectives: People with disabilities need to rely on caregivers to provide oral health care. With the increase of their age, the existing disorders with chronic diseases may lead to an increase in demand for medication. In particular, while being subject to oral invasive care, the risk of drug-related problems is often raised. This article was based on the experience of a regional hospital’s pharmacists to investigate the effect of pharmaceutical intervention on oral care in persons with disability. Methods: The study recruited 193 cases from January 1, 2017 to the December 31, 2017. A single window established by the dental department to receive community dental clinics, health service center referral patients from community, and the pharmacists and dentists provided "home medical services". Results: In view of the potential inappropriate medication that might have an impact on the outcome of oral care, the pharmacists gave 151 interventions to improve medication usage. A total of 162 precautions for disease control, drug use, and the implementation of home safety environment were conducted. Before the invasive dental treatment, the pharmacists proposed a total of 71 recommendations for the medications of prolonging blood coagulation. Conclusions: Through the cooperation of dentists and pharmacists, in addition to enhancing ability of oral self-care, the accident risks caused by medications were further reduced. The cooperation led to a safer medical care environment. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。