摘要
目的:探究合作药物治疗管理(CDTM)模式在社区痛风患者中的近期、远期应用效果。方法:选取2023年1~3月在某社区卫生服务中心就诊的痛风患者102例作为研究对象,采用随机数字表法分为对照组和观察组,每组各51例。对照组患者予以常规药物管理干预,观察组患者在对照组的基础上实施CDTM模式干预,两组患者均干预并随访12个月。统计两组患者干预前,干预3、6、9、12个月血尿酸达标率,并比较两组患者干预前、干预12个月后用药安全认知、态度以及自我效能、生活质量评分的差异性,并评价干预满意度。结果:干预3、6、9、12个月后,观察组患者的血尿酸达标率分别为56.86%、60.78%、64.71%、74.51%,均高于对照组的37.25%、41.18%、45.10%、50.98%(P<0.05)。干预12个月后,观察组患者用药安全认知、态度以及自我效能评分、生活质量各指标评分以及满意度各指标评分均高于对照组(P<0.05)。结论:CDTM模式在社区痛风患者的管理应用中具有良好近期、远期效果,可有效提高患者用药安全认知、态度以及自我效能,改善其生活质量,提升用药服务的满意度。
Objective:To explore the short-term and long-term effects of collaborative drug therapy management(CDTM)model in community gout patients.Methods:102 gout patients treated in our community service center from January 2023 to March 2023 were selected and divided into the control group and the observation group by random number table method,with 51 cases in each group.The control group was given routine drug management intervention,and the observation group was given CDTM intervention.Both groups were followed up for 12 months.The blood uric acid compliance rate of patients before intervention,after 3,6,9,12 months intervention of patients in the two groups was measured,respectively,and the differences in medication safety cognition,attitude,self-efficacy and quality of life scores were compared between the two groups before intervention and 12 months after intervention,and the degree of satisfaction of the intervention was evaluated.Results:After 3,6,9,12 months of intervention,the blood uric acid compliance rates of patients in the observation group were 56.86%,60.78%,64.71%,74.51%,respectively,which were higher than 37.25%,41.18%,45.10%and 50.98%in the control group(P<0.05).After 12 months of intervention,the drug safety cognition,attitude,self-efficacy scores,quality of life scores and satisfaction scores of the observation group were higher than those of the control group(P<0.05).Conclusion:CDTM model intervention has good short-term and long-term effects in community gout patients,which can effectively improve patients'medication safety cognition,attitude and self-efficacy,improve their quality of life,and enhance their satisfaction with medication services.
作者
左必军
夏琳
ZUO Bijun;XIA Lin(Nicheng Community Health Service Center,Pudong New Area,Shanghai 201306,China)
出处
《中国医药导刊》
2024年第8期840-844,共5页
Chinese Journal of Medicinal Guide
基金
上海浦东新区科技发展基金事业单位民生科研专项医疗卫生项目(PKJ2022-Y82)
上海浦东新区卫生健康委员会优秀青年医学人才培养项目(PWRq2020-37)。
关键词
痛风
合作药物治疗管理
社区
临床药师
药学服务
临床效果
Gout
Collaborative drug therapy management
Community
Clinical pharmacist
Pharmaceutical care
Clinical effect
