目的 探讨营养支持药师在临床营养支持中的作用。方法 通过营养支持药师对一例在肠外营养(parenteral nutrition,PN)支持过程中发生韦尼克脑病(Wernicke encephalopathy,WE)的患者进行营养支持方案干预,探讨营养支持药师在临床营养支持中的作用。结果 营养支持药师拥有熟练的营养风险筛查和评估技能,可参与评估全过程,明确患者的营养状况以及是否需要营养支持治疗;营养支持药师熟悉营养支持的常见并发症,通过并发症关联性评价与判定,并提出解决方案,可减轻并发症的不良影响、减少并发症的发生;营养支持药师可以发挥药学专业优势,为患者制定个体化的营养支持方案。结论 营养支持药师的参与,能够提高临床营养支持的安全性和有效性。
Abstract
OBJECTIVE To investigate the role of nutrition support pharmacists(NSP) in the clinical nutrition support. METHODS By intervening the nutrition support schemes on a case of Wernicke encephalopathy occurred in the process of parenteral nutrition support, the role of NSP in the clinical nutrition support were investigated. RESULTS NSP have proficient skill in nutrition risk screening and assessment, and may paticipate the whole process of evaluation to ascertain the patients' nutritional status and whether the nutrition supports were needed. NSP were familiar with the complications of nutrition support therapy, and may alleviate the harmful impact to the patients or reduce the complications by the relevance evaluation and determination,and thus providing the solutions. NSP may educe their specialty and develop individualized nutrition support plan. CONCLUSION The safety and effectiveness of clinical nutrition support can be improved by the participation of NSP.
关键词
营养支持药师 /
临床营养支持
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Key words
nutrition support pharmacist /
clinical nutrition support
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中图分类号：
R952
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参考文献
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脚注
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基金
重庆市卫生计生委医学科研项目资助(2016MSXM014)
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