摘要
目的:分析用药咨询的开展与药学监护对糖尿病患者的临床效果。方法:抽取2018年1月至2020年1月河南科技大学第一附属医院收治的糖尿病患者156例,按随机数字表法分为两组,各78例。对照组实施常规管理,观察组开展用药咨询和药学监护,比较两组血糖[空腹血糖(FPG)、餐后2 h血糖(2 hPG)]、血压[舒张压(DBP)、收缩压(SBP)]水平、不合理用药情况及自我管理能力。结果:干预前,两组血糖、血压水平及自我管理能力评分比较,差异无统计学意义(P>0.05);干预后,观察组FPG(6.93±0.62)mmol/L、2hPG(9.34±0.74)mmol/L、DBP(81.14±2.25)mmHg、SBP(128.26±4.57)mm Hg,均低于对照组,用药管理(6.78±0.12)分、饮食管理(6.63±0.20)分、运动管理(5.93±0.84)分、自我监测管理(5.71±1.29)分,高于对照组,差异有统计学意义(P<0.05);观察组不合理用药情况发生率(6.41%)低于对照组(29.49%),差异有统计学意义(P<0.05)。结论:用药咨询的开展与药学监护可改善糖尿病患者血糖、血压水平,提高自我管理能力,并降低不合理用药发生率。
Objective:To analyze the clinical effect of drug counseling and pharmaceutical monitoring on diabetic patients.Methods:156 patients with diabetes were selected from the First Affiliated Hospital of Henan University of science and technology from January 2018 to January 2020,divided into two groups according to the random number table method,78 cases each.The control group received routine management,while the observation group received medication consultation and pharmaceutical care.The levels of blood glucose[fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG)],blood pressure[diastolic blood pressure(DBP),systolic blood pressure(SBP)],irrational drug use and self-management ability of the two groups were compared.Results:Before intervention,there was no significant difference in blood glucose,blood pressure and self-management ability between the two groups(P>0.05);after the intervention,the FPG of the observation group was(6.93±0.62)mmol/L、2 hPG(9.34±0.74)mmol/L、DBP(81.14±2.25)mm Hg、SBP(128.26±4.57)mm Hg,which were lower than those in the control group(6.78±0.12),diet management(6.63±0.20),sports management(5.93±0.84),selfmonitoring Management(5.71±1.29),which was higher than that of the control group(P<0.05);the incidence of irrational drug use in the observation group(6.41%)was lower than that in the control group(29.49%),the difference was statistically significant(P<0.05).Conclusion:Drug counseling and pharmaceutical monitoring can improve blood glucose and blood pressure level,improve self-management ability and reduce the incidence of irrational drug use.
作者
宋洋
赵文静
SONG Yang;ZHAO Wenjing(First Affiliated Hospital of Henan University of Science and Technology,Luoynag Henan 471000,China)
出处
《药品评价》
CAS
2021年第9期564-566,共3页
Drug Evaluation
关键词
药学服务
糖尿病
药物监测
用药咨询
药学监护
血糖
血压
不合理用药
自我管理能力
Pharmaceutical services
Diabetes mellitus
Drug monitoring
Medication consultation
Pharmaceutical monitoring
Blood glucose
Blood pressure
Irrational use of drugs
Self-management ability
