CAI Jiaqin, WEI Xiaoxia, ZHANG Guifeng, et al. Application and Evaluation of “Collaborative Drug Therapy Management” Model in Standardized Management of Chemotherapy Induced Nausea and Vomiting[J]. 2020,20(9):1125-1128.
CAI Jiaqin, WEI Xiaoxia, ZHANG Guifeng, et al. Application and Evaluation of “Collaborative Drug Therapy Management” Model in Standardized Management of Chemotherapy Induced Nausea and Vomiting[J]. 2020,20(9):1125-1128. DOI: 10.14009/j.issn.1672-2124.2020.09.027.
“合作药物治疗管理”模式在化疗所致恶心呕吐规范化管理中的应用与评价
摘要
目的:通过参与化疗所致恶心呕吐(chemotherapy induced nausea and vomiting
CINV)规范化治疗病房的创建
探索临床药师应用"合作药物治疗管理(collaborative drug therapy management
OBJECTIVE: By participating into the establishment of standardized treatment ward for chemotherapy induced nausea and vomiting (CINV)
to explore the role of clinical pharmacists in the standardized management of CINV under the collobaorative drug therapy management (CDTM) work model. METHODS: In Aug. 2019
Fujian Provincial Hospital (hereinafter referred to as "our hospital ") established the working mode of non-nausea and vomiting management for patients with CDTM chemotherapy led by clinical pharmacists. A clinical pharmacist-led CINV was constructed and patients receiving chemotherapy for the first time was managed in an all-round way.Pharmacist participates in the treatment of CINV by establishing archives and individualized antiemetic programs
pharmacological monitoring and medication education. Information of patients in the department of oncology of our hospital from Jun. to Dec. 2019 were collected
and the occurrence of CINV in cancer chemotherapy patients were compared before and after the implementation of the CDTM model. RESULTS: A total of 130 newly diagnosed patients with the first chemotherapy were enrolled
including 34 patients before the implementation of CDTM model (from Jun.to Jul. 2019) and 96 patients after the implementation of CDTM model (from Aug. to Dec. 2019). Compared with before the implementation of CDTM model
after the application of CDTM model by clinical pharmacists
the overall incidence and severity of CINV in patients decreased significantly
and the difference was statistically significant (P<0. 05)
in particular
the incidence of CINV in patients with high and moderate risk of emetogenesis decreased significantly. In addition
the functional vomiting life index of the patients increased significantly
and the difference was statistically significant (P < 0. 05). CONCLUSIONS: Clinical pharmacists can play an active role in the standardized treatment of CINV through the CDTM work model
which is worthy of promotion.
关键词
化疗相关性恶心呕吐临床药师合作药物治疗管理
Keywords
Chemotherapy induced nausea and vomitingClinical pharmacistsCollaborative drug therapy management model