摘要
目的探讨临床药师通过建设联合药学门诊,加入国家标准化代谢性疾病管理中心(MMC)的诊疗团队开展药学服务的成效。方法共纳入2型糖尿病患者160例,随机分为对照组和干预组,研究周期3个月。两组患者均接受MMC标准化诊疗,临床药师为干预组患者进行药学服务。观察指标包括:用药依从性、空腹血糖(FPG)、糖化血红蛋白(HbA1c)、血压、血脂等综合管理指标。结果两组患者基线特征相似,差异无统计学意义(均P>0.05)。完成3个月的随访后,干预组用药依从性、HbA1c、FPG、低密度脂蛋白胆固醇(LDL-C)和舒张压较对照组明显改善,差异有统计学意义(均P<0.05),两组间不良事件发生情况差异无统计学意义(P>0.05)。结论临床药师通过建设联合药学门诊,完善MMC一体化诊疗体系,有利于改善糖尿病综合管理效果,为药学门诊工作的发展提供新的思路。
Objective To explore the effectiveness of clinical pharmacists in developing pharmaceutical care by establishing doctor-pharmacist joint pharmacy clinic for outpatients and joining the diagnostic and therapeutic team of the National Metabolic Management Center(MMC).Methods A total of 160 patients with type 2 diabetes mellitus were enrolled and randomly divided into control group and intervention group.The study period was 3 months.Both groups received standardized MMC diagnosis and treatment,and clinical pharmacists provided pharmaceutical care for the intervention group.Observation indicators include:drug compliance,fasting plasma glucose(FPG),glycosylated hemoglobin(HbA1c),blood pressure,blood lipid,and other comprehensive management indicators.Results The baseline characteristics of the two groups were similar,and there was no significant difference(all P>0.05).After 3 months of follow-up,drug compliance,HbA1c,FPG,LDL-C,and diastolic blood pressure in the intervention group were significantly improved compared with those in the control group(all P<0.05).There was no significant difference in the incidence of adverse events between the two groups(P>0.05).Conclusion Clinical pharmacists can improve the comprehensive management of diabetes mellitus and provide new ideas for the development of pharmaceutical outpatient service by establishing the doctor-pharmacist joint pharmacy clinic for outpatients and improving the MMC integrated diagnosis and treatment system.
作者
宋金方
李霞
华文进
赵懿清
SONG Jinfang;LI Xia;HUA Wenjin;ZHAO Yiqing(Department of Pharmacy,Affiliated Hospital of Jiangnan University,Wuxi 214000,China;National Metabolic Management Center,Affiliated Hospital of Jiangnan University,Wuxi 214000,China)
出处
《医药导报》
CAS
北大核心
2021年第2期274-278,共5页
Herald of Medicine
基金
无锡市科学技术协会重点软科学研究项目(KX-18-D24)
江苏省药学会-天晴医院药学科研基金(Q2019096)。
关键词
临床药师
代谢性疾病管理中心
联合药学门诊
成效
Clinical pharmacist
Metabolic management center
Joint Pharmacy clinic for outpatients
Effectiveness
