摘要
目的评价居家药学服务用于高血压和(或)糖尿病管理的效果。方法以是否接受居家药学服务标准分为研究组(81例)和对照组(83例)。医院药剂科6位临床药师从每周工作日中抽3个半天到2家社区卫生服务中心,主要针对研究组老年患者的高血压和糖尿病用药问题进行居家药学服务,为患者建立个体服务档案,并根据其用药情况采用欧洲医药保健网(PCNE)分类系统对高血压和(或)糖尿病患者的用药相关问题(DRPs)进行干预和用药指导,教育患者改善不良的生活方式,对服药依从性较差的进行干预。结果研究组患者干预后4,16,28周的服药依从性较对照组明显改善,收缩压(SBP)及空腹血糖(FBG)水平均明显低于对照组,血压正常率及Morisky服药依从性量表(MMAS-8)得分均明显高于对照组(P<0.05),舒张压(DBP)与对照组相当(P>0.05);研究组患者干预后16,28周的糖化血红蛋白(HbA_(1C))水平明显低于对照组,血糖正常率明显高于对照组(P<0.05);两组患者的MMAS-8评分与SBP,HbA_(1C),FBG呈中度负相关,与DBP呈低度负相关。结论开展居家药学服务,有利于提高老年高血压、糖尿病患者的疾病管理质量,应继续探索和推广相关模式及体系。
Objective To evaluate the effect of home pharmaceutical care on the management of patients with hypertension and(or)Diabetes.Methods The patients were divided into the study group(81 cases)and the control group(83 cases)according to whether they received home pharmaceutical care or not.The six clinical pharmacists of the hospital pharmacy department took three half days for visiting two community health service centers on weekdays,focusing on home pharmaceutical care for hypertension and diabetes medication problems in elderly patients in the study group,setting up individual service files for patients,and using the Pharmaceutical Care Network Europe(PCNE)classification system to intervene and guide drug-related problems(DRPs)for patients with hypertension and(or)diabetes according to their medication status,so as to educate patients to improve their unhealthy lifestyles.The patients with poor medication compliance were intervened.Results At 4,16 and 28 weeks after the intervention,the medication compliance of patients in the study group was significantly improved compared with that in the control group,the levels of systolic blood pressure(SBP)and fasting blood glucose(FBG)in the study group were significantly lower than those in the control group,the normal blood pressure rate and the score of the 8-item Morisky Medication Adherence Scale(MMAS-8)in the study group were significantly higher than those in the control group(P<0.05),and the diastolic blood pressure(DBP)in the study group was similar to that in the control group(P>0.05).At 16 and 28 weeks after the intervention,the level of glycosylated hemoglobin(HbA_(1C))in the study group was significantly lower than that in the control group,while the normal rate of blood glucose in the study group was significantly higher than that in the control group(P<0.05).The score of MMAS-8 in the two groups was moderately negatively correlated with SBP,HbA_(1C) and FBG,and low negatively correlated with DBP.Conclusion Carrying out standardized home pharmaceutical care is
作者
宋丹騑
祝德秋
SONG Danfei;ZHU Deqiu(Tongji Hospital of Tongji University,Shanghai,China 200065)
出处
《中国药业》
CAS
2021年第24期29-32,共4页
China Pharmaceuticals
基金
2018年上海市临床药学重点专科建设项目[沪卫计药政[2018]8号]。
关键词
临床药师
居家药学服务
高血压
糖尿病
慢病管理
效果评价
clinical pharmacists
home pharmaceutical care
hypertension
diabetes
chronic disease management
effect evaluation
