药师干预对出院高血压患者认知程度、学习态度、用药依从性的影响研究

Impact of Pharmacists Intervention on Knowledge,Attitudes and Behaviors of Discharged-Patients with High Blood Pressure

目的了解药师干预对出院高血压患者知识、态度、行为水平的变化,为医师-药师合作团队干预提供临床依据。方法采用问卷方式随机对本院确诊为高血压的110例患者在药师干预前后分别调查其高血压相关知识、态度、行为水平的情况。结果干预前患者高血压相关知识普遍缺乏,合格率仅36.40%;患者用药依从性欠佳,按时按量服药比例较低,加用处方外用药比例高,但他们普遍具有良好的学习态度,愿意接受药师干预与配合医生方案用药;药师干预后患者高血压相关知识得分明显提高,合格率占68.18%,与干预前相比较差异有统计学意义(P<0.05);药师干预后患者用药依从性比例明显增加(P<0.05)。结论应对高血压患者实施药师-医师干预模式,以提高相关知识水平以及用药依从性,以减少用药风险。

Objective To understand the impact of pharmacists intervention on knowledge,attitudes and behaviors of discharged-patient with high blood pressure（ HBP）,and provide clinical basis for intervention by cooperation team of physicians-pharmacists. Methods A questionnaire survey was conducted with 110 patients with HBP to ascertain their knowledge of,attitudes towards,and behaviors on HBP. Results Before the intervention,patients with HBP were lack of knowledge about HBP,qualified patients only accounted for 36. 40%; the compliance rate of patients was poor,they could not take regular medication on time or taking medicine beyond prescription. However,they had good attitude,accepted the pharmacists intervention. After pharmacists intervention,the HBP related knowledge score in patients increased significantly（ P 〈 0. 05）,qualified rate was 68. 18%. The rate of the compliance of patients was increased significantly after pharmacists intervention（ P 〈 0. 05）. Conclusion Pharmacists intervention should be performed in patients with HBP,to improve their knowledge of HBP,compliance to drug,and decrease the risk of side-effects.