糖尿病患者个体化手机短信药学服务的效果研究

Individual Pharmaceutical Care for Diabetic Patients by Short Massage Service

目的:研究临床药师利用手机短信为糖尿病患者提供个体化药学服务的效果。方法:将64例2型糖尿病患者分为试验组30例(男性20例,女性10例)与对照组34例(男性16例,女性18例),试验组由临床药师利用手机短信进行为期3个月的个体化药学服务,发送的短信内容包括用药提醒、药物实用信息、糖尿病教育等内容,并定期进行电话随访;对照组进行常规治疗。3个月后电话随访,评价2组患者血糖控制情况以及短信服务效果。结果:试验组患者对手机短信服务的综合评分较高((8.93±0.22)分),干预后空腹血糖(6.89±1.33)mmol·L-1、餐后血糖(8.72±1.59)mmol·L-1分别较干预前有极显著性降低(P<0.01);对照组干预后空腹血糖(6.96±1.23)mmol·L-1、餐后血糖(8.84±1.47)mmol·L-1,较干预前有显著性降低(P<0.05)。2组间差异无统计学意义(P>0.05)。试验组糖化血红蛋白检测率较对照组提高12.7%。结论:手机短信服务能改善患者的血糖控制,提高患者自我血糖管理,可以成为临床药师开展个体化药学服务的有效手段。

OBJECTIVE：To study the effect of clinical pharmacists applying individual pharmaceutical care by short message service（SMS）. METHODS：A total of 64 patients with type 2 diabetes were assigned into trial group（n=30,20 males and 10 fe- males）or control group（n=34,16 males and 18 females）. In trial group,clinical pharmacists provided individual pharmaceutical care by SMS for 3 months. The content of messages included medication reminders,useful drug information and diabetes education,etc. The control group received regular treatment. 2 groups were followed up after 3 months through telephone. The glycemic control of 2 groups and the effect of SMS were evaluated. RESULTS：The mean score of pharmaceutical care through SMS in trial group was（8.93±0.22）point. The levels of fasting blood glucose and post-meal glucose were（6.89±1.33）mmol·L-1 and （8.72±1.59）mmol·L-1 after intervention,which were extremely lower than before intervention（P0.01）. The levels of fasting blood glucose and post-meal glucose were（6.96±1.23）mmol·L-1 and（8.84±1.47）mmol·L-1,which were significantly lower than before intervention（P0.05）. There was no significant difference between 2 groups. The detection rate of HbA1c in trial group increased by 12.7%,compared with control group. CONCLUSION：SMS can improve the glycemic control and self-man- agement of patients. It is an effective way to provide individual pharmaceutical care by clinical pharmacists.