临床药师参与高血压患者门诊治疗的药学实践

Pharmaceutical practice of clinical pharmacists participating in outpatient treatment for patients with hypertension

目的探讨临床药师参与高血压患者门诊治疗的药学实践效果。方法选择2013年9月至2016年1月在我院门诊诊治的高血压患者88例,根据入院顺序分为观察组和对照组各44例,对照组在药物应用过程中未进行药师咨询,观察组药师参与临床用药,为患者制订个体化给药方案并进行一对一健康教育,两组干预观察时间为3个月。结果两组舒张压与收缩压干预后明显低于干预前(P<0.05),干预后观察组收缩压与舒张压均明显低于对照组(P<0.05)。观察组和对照组用药依从性分别为97.7%和86.4%,观察组明显高于对照组(χ~2=3.782,P<0.05)。观察组的低钠盐饮食、坚持运动评分分别为(91.42±7.39)分和(90.28±6.38)分,均明显高于对照组的(84.21±4.20)分和(83.09±5.13)分(P<0.05)。观察组干预期间的非预约就诊、急诊和住院次数均明显少于对照组(P<0.05)。结论临床药师参与高血压患者门诊治疗的药学实践可以提高患者用药依从性,有利于血压的降低,同时可提高患者的自我管理能力,从而减少计划外就诊及住院的发生。

Objective To explore the effects of clinical pharmacists participating in the pharmacy practice in the outpatient treatment for hypertension patients.Methods Eighty-eight patients with essential hypertension in our out-patient from September 2013 to January 2016 were selected,and equally divided into observation group and control group according to the order of admission,44 cases in each group.Control group in the application process of the drug,did not consult a pharmacist,while in observation group pharmacists participate in clinical drug therapy that included individualized dosing regimen and a health education and intervention.Two groups was observed for 3 months.Results The systolic blood pressure and diastolic blood pressure of the two groups after intervention were significantly lower than that before intervention（P〈0.05）,and the systolic and diastolic blood pressure in the observation group after intervention was significantly lower than that in the control group（P〈0.05）.The medication compliance in the observation group and the control group was 97.7%and 86.4%,the observation group being significantly higher than the control group（X^2=3.782,P0.05）.The low sodium salt diet and exercise scores in the observation group were（91.42±7.39） points and（90.28 ±6.38） points,which were significantly higher than the control group[（84.21 ±4.20）points and（83.09 ±5.13） points].during the intervention（P〈0.05）.The number of non-appointment visits,emergency and hospitalization in the observation group during intervention were significantly less than those of control group（P〈0.05）.Conclusion Clinical pharmacists participating in pharmaceutical practice in outpatient treatment for patients with essential hypertension can improve the patients＇ compliance with medication,reduce the blood pressure and improve patients＇ self-management ability,thereby reducing unplanned visits and hospitalizations.