摘要
目的 探讨临床药师开展药学服务对老年住院高血压患者血压控制疗效的影响,为老年高血压的治疗提供临床依据。方法 纳入2019年5月—2020年6月在上海市第十人民医院崇明分院接受住院治疗的260例老年高血压患者,随机分为观察组(n=130)与对照组(n=130)。对照组患者采用常规治疗及护理,观察组在对照组基础上,由临床药师积极开展药学服务工作,两组患者随访6个月。分析并比较两组患者血压控制情况、高血压疾病相关知识掌握情况、心理健康状态、依从性、健康素养及不良事件发生情况。结果 经治疗后两组患者的血压均明显降低,且观察组血压恢复更好(P<0.05);观察组患者高血压知识得分明显高于对照组[(78.26±8.25)分vs(66.34±7.32)分;P<0.05];观察组患者的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均明显低于对照组[(45.56±3.86)分vs(52.37±4.15)分;(43.27±3.63)vs(50.52±4.32)分;P<0.05];观察组的总体依从性明显高于对照组(P<0.05);与对照组相比,观察组患者的健康素养评分明显偏高[(97.46±8.42)分vs(86.58±7.76)分;P<0.05];观察组心血管不良事件发生率明显低于对照组(P<0.05)。结论 临床药师开展药学服务对老年住院高血压患者血压控制疗效显著,有助于控制患者血压,提升用药依从性,减少心血管不良事件的发生,值得推广及应用。
Objective To explore the effect of clinical pharmacists’ pharmaceutical care on the blood pressure control of elderly hospitalized hypertensive patients, and to provide clinical basis for the control of elderly hypertension. Methods Totally 260 elderly hypertensive patients hospitalized in our hospital from May 2019 to June 2020 were randomly divided into the observation group(n=130) and the control group(n=130). The patients in the control group were given routine treatment and nursing. On the basis of the control group, the clinical pharmacists actively carried out pharmaceutical care in the observation group. The patients in the two groups were followed up for 6 months. Analyze and compare the control of blood pressure, mastery of hypertension related knowledge, mental health status, compliance, health literacy and adverse events of the two groups. Results After treatment, the blood pressure of the two groups decreased significantly, and the blood pressure of the observation group recovered better(P<0.05);The score of hypertension knowledge in the observation group was significantly higher than that of the control group [(78.26±8.25) points vs(66.34±7.32) points;P<0.05];The scores of SAS and SDS in the observation group were significantly lower than those of the control group [(45.56±3.86) vs(52.37±4.15);(43.27±3.63) vs(50.52±4.32);P<0.05];The overall compliance of the observation group was significantly higher than that of the control group(P<0.05);Compared with the control group, the health literacy score of patients in the observation group was significantly higher [(97.46±8.42) points vs(86.58±7.76) points;P<0.05];The incidence of adverse cardiovascular events in the observation group was significantly lower than that of the control group(P<0.05). Conclusion The pharmaceutical care provided by clinical pharmacists has a significant effect on the blood pressure control of elderly inpatients with hypertension. It is helpful to control the blood pressure of patients, improve drug compliance, and red
作者
范贇婷
倪寂
FAN Yun-ting;NI Ji(Pharmacy Department of Chongming Branch of Shanghai the 10th People’s Hospital,Shanghai 202157,China)
出处
《医药论坛杂志》
2023年第4期48-51,共4页
Journal of Medical Forum
基金
上海医院药学科研项目(2019-YY-21)
上海市崇明区“可持续发展科技创新行动计划”项目(CKY2019-36)。
关键词
临床药师
药学服务
老年
高血压控制
疗效
Clinical pharmacist
Pharmaceutical services
Old age
Hypertension control
curative effect
