Key words: tumor patients; Clinical pharmacist; Pharmaceutical services; survey
Malignant tumor is becoming more and more serious threat to human health, and it has become the second largest disease after cardiovascular disease [1]. Using drugs to treat tumors is an important means to prolong patients' survival time and improve their quality of life. However, due to the low selectivity of tumor treatment drugs, it will kill tumor cells and also cause certain damage to normal cells and tissues. Therefore, the correct and rational use of anti-tumor drugs is particularly important for tumor treatment. The concept of pharmaceutical care has been widely recognized, accepted and put into practice. In recent years, the Ministry of Health has implemented the clinical pharmacist system on a pilot basis, which indicates that the direction of pharmaceutical work has changed from "drug security and supply as the center" to "rational drug use for patients as the center" [1]. By distributing questionnaires to inpatients with cancer, we investigated their cognition of pharmaceutical care, and analyzed the necessity of developing pharmaceutical care among cancer patients, so as to promote rational drug use, improve patients' compliance and medication effect, and provide more thoughtful pharmaceutical care.
1 data and methods
1. 1 general information
The subjects were cancer inpatients who came to our hospital from 20 15 to1May. The contents of the survey included the sex, age, diseases and medication problems of the patients. Then the data of 257 patients collected were processed and statistically analyzed.
1.2 survey method
According to the characteristics of cancer hospital, this survey mainly includes the investigation of patients' medication and the contents of pharmaceutical services needed by patients. Random sampling questionnaire survey was used. In order to ensure the reliability of the data, all the questionnaires were collected on the spot, and the questionnaires were synthesized and sorted out to prepare for the next analysis.
Two results
2. 1 census
A total of 300 questionnaires were sent out and 257 questionnaires were recovered, with a recovery rate of 85.7%. There were 1 16 males (45. 1%). Female 14 1 case (54.9%). In all the questionnaires, 228 people want to get pharmaceutical services from pharmacists, accounting for 88.7% of the total number.
2.2 Drug use survey
Most patients know the basic knowledge of medication, among which 88.7% know the correct time of medication, 77.0% know that they are allergic to those drugs, and 64.2% know how to store drugs, which may be related to pharmacists' medication education. 90.7% patients indicated that pharmacists clearly explained the usage and precautions of drugs to them. At the same time, the results also showed that some patients had poor compliance, 30.7% patients increased the dosage to enhance the curative effect, and 19. 1% patients changed the medicine themselves. 30.7% patients believe in drug advertisements.
2.3 Investigation on the content of required pharmaceutical services
Among the patients, 79.0% wanted to know about the adverse reactions of drugs, which was the content of pharmaceutical care that patients most wanted to know, and 67.7% wanted to know about the indications of drugs. About 60% of patients want to get information about drug usage, dosage and interaction. At the same time, price is also a concern of patients. 6 1. 1% patients were concerned about the drug price, and 59.9% patients were concerned about the medical insurance drug list. Patients pay less attention to the basic drug information such as drug name, drug storage and drug expiration date, which are 45. 1%, 50.2% and 5 1.4% respectively.
3 discussion
This study found that the pharmaceutical care of pharmacists in our hospital has achieved certain results, and 90.7% of patients said that pharmacists clearly explained the usage and precautions of drugs to them. Medication education enables patients to have a certain understanding of basic medication knowledge. The results of this study show that 88.7% of patients know the correct time to take drugs, 77.0% of patients know that they are allergic to those drugs, and 64.2% of patients know how to store drugs. Studies have shown that many patients have poor compliance with medication, such as overdose, chronic diseases that can not persist in taking medication for a long time, and random changes in drug dosage, which lead to drug-induced diseases [2]. The results of this survey showed that 30.7% patients increased the dosage to enhance the curative effect, and 19. 1% patients changed their medicine by themselves. This is consistent with the results in the literature. Therefore, strengthening patient compliance education is of great significance to patients' safe medication.
3. 1 Carry out medication education to improve patient compliance.
Medication education includes many aspects, such as the education of adverse reactions of chemotherapy drugs, so that patients can understand the adverse reactions of chemotherapy drugs without being intimidated by the toxicity of chemotherapy drugs; Compliance education of oral chemotherapy drugs; After the treatment, the education of drug use outside the hospital was carried out. Establishing a medication education card for patients can make patients feel attention and care psychologically, consciously and physically, and take the initiative to receive treatment, which is helpful for patients and their families to master the common knowledge of medication related to diseases and understand the etiology, treatment, medication and dietary precautions of diseases. Medication education runs through the whole treatment process, so that patients and their families can master self-care knowledge.
3.2 Carrying out medication education for patients is conducive to carrying out individualized medication monitoring.
In order to realize individualized drug treatment, it is necessary to know the drug use of some special groups, such as liver and renal insufficiency, or complicated infection, diabetes, cardiovascular diseases, or special groups such as the elderly and children who participate in treatment during hospitalization, educate patients on drug use, ask about allergy history and drug use history, record daily changes and drug use, analyze the characteristics and rationality of drug use, complete the drug use calendar, and make a simple evaluation of the drug use of patients during hospitalization.
3.3 Medication education for patients is helpful to evaluate the clinical medication scheme.
In the treatment of some patients complicated with other diseases, pharmacists provide medication education to patients, cooperate with doctors to improve the formulation of chemotherapy plans, stop vomiting, protect liver and relieve pain, and cooperate with internal medicine nurses to give full play to their professional expertise, so as to make clinical pharmaceutical services comprehensive and timely. According to the reasons of patients' non-compliance, a scientific individualized pharmaceutical care intervention plan was formulated.
3.4 to promote drug information to medical staff, improve the quality of pharmaceutical services.
Medical staff provide therapeutic drugs related content to help doctors learn more about drugs. Choose a topic to give a small lecture to medical staff. For example: the time of taking commonly used oral drugs; Chemotherapeutic drugs that easily penetrate the blood-brain barrier; Clinical application and adverse reactions of beta blockers: classification and action characteristics of commonly used glucocorticoids; Antiemetics commonly used in chemotherapy and matters needing attention; Production and application of platinum drugs.
4 abstract
Chemotherapy is a common treatment for cancer patients, but anti-tumor drugs will inevitably produce some adverse reactions, seriously affecting the quality of life of patients, and also limiting the use of drugs, affecting the efficacy of drugs [3]. This study shows that the most desired pharmaceutical service for cancer patients is adverse drug reactions, accounting for 79.0%. It can predict and prevent the adverse reactions of anti-tumor drugs. For example, chemotherapy drug cisplatin, vomiting is strong [4]. Patients should be informed that nausea and vomiting may occur after use, and drugs such as metoclopramide or serotonin receptor blockers should be used to prevent digestive tract reactions [5]. Another example is hair loss, the common adverse reactions of chemotherapy. Patients should be informed in advance that hair can regenerate after stopping chemotherapy [6]. To sum up, it is very important for pharmacists to participate in clinical work and provide pharmaceutical services for patients. Through medication education for patients, it is of great significance for patients to understand basic medication knowledge, adverse drug reactions and increase their medication compliance. At the same time, pharmacists also need to strengthen study, increase professional knowledge, improve service quality, attach importance to communication with patients, strengthen cooperation with doctors and nurses, and promote rational and safe drug use by patients.
References:
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