期刊文献+

药师参与慢病管理对预防2型糖尿病患者用药错误的作用 被引量:3

The role of chronic disease management by pharmacists in the prevention of medication errors in type 2 diabetes mellitus
下载PDF
导出
摘要 目的探讨药师参与慢病管理在预防门诊2型糖尿病患者用药错误中的作用。方法随机选取门诊18~80岁2型糖尿病患者120例。就诊时记录入组患者的基本资料,包括姓名、年龄、性别、联系方式、文化水平及有无合并症。将入组患者随机分为干预组和对照组,均接受6个月的随访。干预组患者就诊后第1~2个月每2周随访1次,第3~6个月每4周随访1次;对照组第1、3、6个月末随访1次。随访内容:空腹血糖、餐后2 h血糖、体质量及血压等指标,所用药物名称及用法用量,是否漏服,有无不良反应及如何应对,生活方式是否改变等。药师记录用药错误发生的时间、次数、药品和级别并对患者进行个体化用药指导。结果干预组56例患者、对照组53例患者分别完成随访。2组患者基本资料比较差异无统计学意义。6个月研究期内,干预组29例患者、对照组11例患者出现了用药错误,2组用药错误发现率比较差异有统计学意义(P=0.00078)。共发现干预组37次、对照组12次用药错误;2组患者出现的用药错误均以遗漏占比最高,干预组12次(32.43%),对照组4次(33.33%),2组遗漏错误比较差异无统计学意义。其中3例患者因用药错误导致低血糖反应,药师及医生告知患者需牢记药物名称、不可自行更改剂量等,患者未再出现用药错误。结论药师参与的慢病管理能及时发现并纠正门诊2型糖尿病患者的用药错误,保障患者的用药安全。 Objective To explore the role of chronic disease management by pharmacists in the prevention of medication errors in outpatients with type 2 diabetes mellitus.Methods 120 type 2 diabetes patients aged 18-80 years were randomly selected.The basic information of the enrolled patients,including name,age,gender,contact information,educational level and complications were recorded.The patients were randomly divided into intervention group and control group,and were followed up for 6 months.The patients in the intervention group were followed up every 2 weeks from the first to second months and every 4 weeks from the third to sixth months.The control group was followed up at the end of the 1st,3rd and 6th month.The follow-up contents included fasting blood glucose,2 hours postprandial blood glucose,body weight,blood pressure and other indicators,the name,usage and dosage of drugs used,whether they are missed,whether there are adverse reactions and how to deal with them,and whether the lifestyle has changed,etc..The time,frequency,drugs type and levels of medication errors were recorded.Results There were 56 patients in the intervention group and 53 patients in the control group completed follow-up respectively.There was no significant difference in basic information between the 2 groups.During the 6-month follow-up period,it was found that 29 patients in the intervention group and 11 patients in the control group had medication errors.There was significant difference in the discovery rate of medication errors between the 2 groups(P=0.00078).There were 37 medication errors in the intervention group and 12 medication errors in the control group.Omission accounted for the highest proportion of medication errors in the 2 groups,12 times in the intervention group(32.43%)and 4 times in the control group(33.33%).There was no significant difference between the 2 groups.Three patients had hypoglycemic reaction due to medication errors.The pharmacist and doctor had advised the patients to remember the drug name and not to change the dose by themselves and the patients did not have medication errors again.Conclusion Chronic disease management by pharmacists can detect and correct medication errors in outpatients with type 2 diabetes patients and ensure the safety of medication.
作者 王小庆 尚伟 胡秀萍 方朝晖 WANG Xiaoqing;SHANG Wei;HU Xiuping;FANG Zhaohui(Department of Pharmacy,the Affiliated Chuzhou Hospital of Anhui Medical University,Chuzhou 239000,China;Department of Endocrinology,the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230031,China)
出处 《西北药学杂志》 CAS 2023年第4期209-213,共5页 Northwest Pharmaceutical Journal
基金 国家自然科学基金面上项目(编号:81774286)。
关键词 用药错误 药师 慢病管理 2型糖尿病 medication error pharmacist chronic disease management type 2 diabetes mellitus
  • 引文网络
  • 相关文献

参考文献20

二级参考文献204

共引文献5744

同被引文献22

引证文献3

;
使用帮助 返回顶部