晚期顽固性癌痛患儿多种模式融合的药学服务实践<sup>★</sup>

doi:10.3969/j.issn.2095-1264.2024.06.17

首页 > 过刊浏览>2024年第6期 >764-768. DOI:10.3969/j.issn.2095-1264.2024.06.17

晚期顽固性癌痛患儿多种模式融合的药学服务实践★
DOI:
                        10.3969/j.issn.2095-1264.2024.06.17
                    
作者:
                        
                        
                    
作者单位:1.昆明医科大学附属德宏医院/德宏州人民医院，药剂科，云南 芒市，678400;2.昆明医科大学附属德宏医院/德宏州人民医院，宁养院，云南 芒市，678400
作者简介:尚飞能，男，硕士，主管药师，研究方向为儿童癌症疼痛治疗。
通讯作者:尹梅香，女，主任医师，研究方向为纾缓医学。
中图分类号:R738.1;R730.6;R969.3
基金项目:云南省教育厅科学研究基金项目（2024J0326）。

The practice of pharmaceutical care with multi-mode integration in children with advanced intractable cancer pain ^★

Author:

Affiliation:

1.Department of Pharmacy;2.Hospice Unit, Dehong Zhou People's Hospital/ the Affiliated Dehong Hospital of KunmingMedical University, Mangshi, 678400, Yunnan, China

Fund Project:

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摘要:

目的探讨多种模式融合下的药学服务在癌痛患儿中的作用。方法临床药师参与1例骨肉瘤患儿止痛方案的制定，评估镇痛效果，调整镇痛药物剂量，对患儿及家属进行线上+居家药学+叙事药学服务，并监护不良反应。结果临床药师协助医生制定方案，规范使用大剂量盐酸吗啡，患儿癌痛缓解，用药期间无不良反应发生，生活质量得到改善。结论临床药师通过多种模式相融合参与癌痛药物治疗，能促进癌痛规范化治疗，确保用药安全有效。

Abstract:

Objective To explore the effects of pharmaceutical care for children with cancer pain under the integration of multiple modes.Methods Clinical pharmacists participated in the formulation of an analgesic plan for a child with osteosarcoma, evaluated the analgesic efficacy, adjusted the dosage of analgesic drugs, provided online+home pharmaceutical care + narrative pharmacy service for the child and her family, and monitored the adverse reactions.Results Pharmacists assisted doctors to formulate a plan and standardized the use of high-dose morphine hydrochloride. The cancer pain of the child was relieved, and no adverse reactions occurred during medication, and her quality of life was improved.Conclusion Pharmacists participate in the drug treatment of cancer pain through the integration of multiple modes, which can promote the standardized treatment of cancer pain and ensure the safety and effectiveness of drug use.