临床药师干预对2型糖尿病患者健康管理影响的调查研究

Study of the effects of clinical pharmacist intervention on health management of patients with type 2 diabetes

目的 :探讨临床药师干预对2型糖尿病患者健康管理的影响,为糖尿病患者的健康管理策略提供参考。方法:通过问卷调查方式,比较临床药师干预前后,2型糖尿病住院患者在用药依从性、糖尿病及药物相关知识认知、自我血糖监测、行为与生活方式等方面的变化。结果 :与临床药师干预前相比较,干预后患者的用药依从性、糖尿病及药物相关知识的认知都显著提高(P<0.05);不良事件(ADE)总的发生率无统计学差异(P>0.05)但个别频发的低血糖现象不再发生;临床药师干预后患者自我血糖监测更加规范,空腹血糖和餐后2 h血糖均达标者显著提高,从4例(14.29%)提高到32例(91.43%)(P<0.05);患者的行为和生活方式更加健康。结论 :临床药师干预可改善糖尿病患者的用药依从性、提高患者对糖尿病相关知识的知晓率,有助于改善其生活行为方式,促进患者提升自我健康管理。

Objective： To explore the effects of clinical pharmacist intervention on health management of patients with type 2 diabetes and provide a reference for health management strategy of patients with type 2 diabetes. Methods： The changes of inpatients with type 2 diabetes in medication compliance, cognition of the knowledge related to diabetes and therapeutic drugs, self-monitoring of blood glucose, behavior and lifestyle before and after clinical pharmacists intervention were compared by questionnaire. Results： After the intervention, patients＇ medication compliance, cognition of the knowledge related to diabetes and therapeutic drugs were significantly improved（P〈0.05）. The total incidence of ADE showed no statistical difference（P〉0.05）, however, the individual hypoglycemia frequently appeared before no longer occurred. Self-monitoring of blood glucose became more regulated after intervention. Patients attaining the goals of fasting and postprandial blood glucose were significantly increased from 4 cases（14.29%） to 32 cases（91.43%）（P〈0.05）. Behavior and lifestyle of the patients were also healthier. Conclusion： Clinical pharmacist intervention can improve the patients＇ medication compliance and raise awareness of diabetesrelated knowledge and is of benefit to improving their lifestyle and promoting self-management of health.