摘要
目的 探讨临床药师参与糖尿病患者门诊治疗药学实践的效果。方法 收集2014年7月至2017年10月期间在本院糖尿病门诊就诊的糖尿病患者102例,根据随机数字表法将上述患者分为干预组和对照组,每组51例。对照组在门诊药物使用过程中临床药师未提供药学服务,干预组在门诊药物使用过程中,临床药师向糖尿病患者门诊治疗提供药学服务。比较两组干预前、干预6个月时的空腹血糖水平、自我行为管理能力情况。同时比较两组治疗期间用药依从性及预后(包括非预约就诊、急诊和住院次数)情况。结果 干预后,两组血糖水平均较干预前明显降低(P<0.05),但干预组血糖水平低于对照组(P<0.05)。干预组门诊治疗期间用药依从性明显高于对照组(P<0.05)。干预后,干预组饮食控制、合理运动评分明显高于对照组(P<0.05);干预组患者门诊治疗期间非预约就诊、急诊、住院次数明显少于对照组(P<0.05)。结论 糖尿病患者门诊治疗过程中,临床药师提供药学服务,能有效提高患者的用药依从性,改善其自我管理水平,利于血糖的控制,并降低计划外就诊及住院的可能性。
Objective To explore the effect of pharmaceutical practice of clinical pharmacists participating in outpatient treatment of diabetics.Methods 102 patients with diabetes mellitus were collected from diabetic outpatient of our hospital from July 2014 to October 2017.According to the random number table method,the patients were divided into intervention group and control group,with 51 cases in each group.In the control group,clinical pharmacists did not provide pharmaceutical care during the outpatient drug use;in the intervention group,clinical pharmacists provided pharmaceutical care for diabetic patients during the outpatient drug use.The fasting blood glucose level and self-management ability before intervention and at 6 months after intervention were compared between the two groups.At the same time,the drug compliance and prognosis(including non-appointment,emergency,and hospitalization)were compared between the two groups.Results After the intervention,the blood glucose level was lower than that before intervention in the two groups,the blood glucose level in the intervention group was lower than that in the control group(P<0.05).The compliance in the intervention group during out-patient treatment was significantly higher than that in the control group(P<0.05).After the intervention,the scores of diet control and reasonable exercise in the intervention group were significantly higher than those in the control group(P<0.05),and the number of non-appointed visits,emergency,and hospitalization in the intervention group were significantly less than those in the control group(P<0.05).Conclusions During the outpatient treatment of diabetes mellitus patients,clinical pharmacists provide pharmaceutical care,which can effectively improve their drug compliance,improve their self-management level,facilitate the control of blood sugar,and reduce the possibility of out-of-plan visits and hospitalization.
作者
侯丽艳
于成勇
Hou Liyan;Yu Chengyong(Department of Pharmacy,Weihai Central Hospital,Weihai 264400,China)
出处
《国际医药卫生导报》
2018年第23期3665-3668,共4页
International Medicine and Health Guidance News
关键词
临床药师
糖尿病
药学实践
药物依从性
自我管理能力
Clinical pharmacists
Diabetes mellitus
Pharmaceutical practice
Drug compliance
Selfmanagement ability
