2型糖尿病社区药学监护的效果评价

Effects of community-based pharmaceutical care on type 2 diabetes mellitus

目的:探讨2型糖尿病社区药学监护的效果。方法:选择社区确诊的2型糖尿病患者164例,随机分为监护组82例和对照组82例,监护组由社区卫生服务中心药师进行为期6个月的社区药学监护,对照组则不接受相关干预。比较2组监护前后空腹血糖、餐后2h血糖、糖化血红蛋白、用药依从性、药物不良事件(ADE)发生率、患者满意度的变化。结果:与监护前比较,监护组的空腹血糖、餐后2h血糖、糖化血红蛋白,药物不良事件(ADE)发生率显著降低(P<0105),且显著低于对照组(P<0105),用药依从性、患者满意度显著提高(P<0105),且显著高于对照组(P<0105)。结论:社区药学监护对于2型糖尿病的控制有一定效果。

[ Objective ] To investigate the effects of community- based pharmaceutical care on type 2 diabetes mellitus [Method] 164 patients with confirmed type 2 diabetes mellims were selected from a community in Hangzhou and were randomly assigned to intervention group （n = 82 ） and control group （n = 82 ）. Patients in intervention group received pharmaceutical care for 6 mouths under the guidance of connnunity pharmacists, while those in control group did not. The condition of pharmaceuti- cal care, fasting blood glucose, postprandial 2h blood glucose, HbAlc, medication compliance, the incidence of adverse drug events （ADE）, patient satisfaclion were compared before and after intervention between two groups. [Result] Compared with those before intervention, fasting blood glucose, poslprandial 2h blood glucose, HbAlc, the incidence of adverse drug events （ADE） significantly decreased after intervention in intervene group（ P 〈 0.05）, while medication compliance, patient satisfac- tion significantly increased. [ Condusion ] Community- based pharmaceutical care has some effects on control of type 2 dia- betes mellitus