临床药师开展用药教育对脑卒中患者二级预防及依从性的作用研究

Study on the Effect of Medication Education on Secondary Prevention and Compliance of Stroke Patients by Clinical Pharmacists

目的探究临床药师开展用药教育对脑卒中患者二级预防及依从性的作用。方法选择在东莞市横沥医院进行治疗的脑卒中患者作为研究对象,开展时间:2018年5月至2019年5月,病例数:58例。随机分成对照组和观察组,每组各29例,对照组给予常规用药指导,观察组由临床药师给予系统用药教育,比较两组患者二级预防情况、用药依从性以及药物知识掌握情况。结果两组脑卒中患者二级预防情况比较,观察组病情好转比例68.97%、进展比例20.69%、复发比例10.34%,与对照组34.48%、48.28%、17.24%比较,除了复发率以外均存在显著差异,有统计学意义,P<0.05;观察组患者用药依从性96.55%,高于对照组79.31%,差异有统计学意义,P<0.05。教育前两组患者对脑卒中用药知识的掌握情况得分分别为(50.63±2.15)分和(50.87±3.02)分,差异无统计学意义,P>0.05,教育后观察组患者对脑卒中用药知识的掌握情况得分(90.10±1.36)分,高于对照组(83.63±2.15)分,差异有统计学意义,P<0.05。结论对脑卒中患者进行系统用药教育可以起到非常好的二级预防作用,有助于患者病情好转及控制,减少病情进展和复发,同时可以提高患者对用药意义的理解和重视,提高用药依从性,值得广泛应用与推广。

Objective To explore the effect of drug education by clinical pharmacists on secondary prevention and compliance of stroke patients.Methods Stroke patients selected for treatment in Hengli Hospital in Dongguan City were studied from May 2018 to May 2019.It was randomly divided into control group and observation group,each group was 29 cases,the control group was given routine medication guidance,the observation group was given systematic medication education by clinical pharmacists,and the two groups were compared with the two groups of patients’secondary prevention and drug compliance.Results The rate of improvement was 68.97%,the rate of progress was 20.69%,and the rate of recurrence was 10.34%.Compared with the control group,34.48%,48.28%,17.24%,there were significant differences except recurrence rate,P<0.05.The compliance of the observation group was 96.55%,higher than that of the control group 79.31%,the difference was statistically significant,P<0.05.The scores of mastery of medication knowledge for stroke in the two groups before education were(50.63±2.15)points and(50.87±3.02)points,respectively,with no statistical significance(P>0.05).After education,the mastery of medication knowledge for stroke in the observation group was(90.10±1.36)points,higher than that of the control group(83.63±2.15)points,and the difference was statistically significant(P<0.05).Conclusion Systematic drug use education for stroke patients can play a very good role in secondary prevention,help patients improve and control their condition,reduce the progress and recurrence of the disease,and improve the understanding and attention of patients to the significance of drug use.Improving drug compliance is worthy of wide application and promotion.