药物咨询干预与老年糖尿病患者用药依从性的关系

Relationship between Drug Counseling Intervention and Compliance of Elderly Diabetes Patients

目的:探讨老年糖尿病患者的用药依从性与药师实施药物咨询干预的关系。方法:随机抽取我院2011年6-12月内分泌科确诊的经药物咨询干预后进行治疗的老年糖尿病患者(观察组)和常规药物治疗患者(对照组)各80例,考察2组患者用药依从性的变化。结果:纳入研究前观察组与对照组患者用药依从性佳者所占比例分别为18.8%、20.0%,2组比较差异无统计学意义(P>0.05);1个月及3个月后观察组患者用药依从性佳者分别上升至41.2%、56.3%,对照组分别为21.2%、22.5%,2组患者的用药依从性在1个月及3个月时差异均有统计学意义(P<0.01)。结论:药师开展包括药物咨询在内的全方位的药学服务,能显著提高老年糖尿病患者的用药依从性。

OBJECTIVE ： To discuss relationship of drug counseling intervention by pharmacists with the compliance of elderly diabetes patients. METHODS： 80 elderly diabetes patients receiring treatment after drug coanseling intervention （observation group） and 80 patients receiving conventional drug treatment （control group） were randomly collected from endocrinology depart- ment of our hospital during Jun.-Dec. in 2011, and the compliance of patients in 2 groups was invesitgated. RESULTS： The propor- tion of patients With good compliance in observation group and control group were 18.8% and 20.0% before study, there was no statistical significance between 2 groups （P〉0.05） ; 1 months and 3 months later, the proportion of sound compliance in observa- tion group were increased to 41.2% and 56.3%, in control group increased to 21.2% and 22.5%, there were significant differences in medication compliance between 2 groups（P〈0.01）. CONCLUSION： Pharmacists provide all-directional pharmaceutical care, in- cluding drug counseling, and it can significantly improve the compliance of elderly diabetes patients.