药学指导对糖尿病患者的病情干预效果及改善情况分析

Analysis of the Effect and Improvement of the Medical Guidance on the Condition of Patients With Diabetes

目的探讨糖尿病患者使用药学指导对患者的病情改善效果。方法选取我院康复科2014年1月~2015年6月收治的糖尿病患者258例作为研究对象,依据随机性的原则平均分为对照组与干预组各129例。治疗过程中对照组给予常规的糖尿病治疗方法,干预组在常规组的基础上同时施予有针对性的药学指导性干预,并于治疗后6个月观察两组患者的病情治疗情况,做相应项目指标的对比分析。结果对比两组患者的治疗效果可见对照组治疗后的患者腹血糖水平、餐后2 h血糖水平、甘油三酯与低密度脂蛋白分别为（7.51±0.40）mmol/L,（10.70±0.88）mmol/L,（4.30±1.70）mmol/L,（3.20±1.10）mmol/L,干预组对应指标在治疗后分别为（6.12±0.38）mmol/L,（8.24±0.78）mmol/L,（2.80±1.20）mmol/L,（1.50±0.70）mmol/L。分别比较各组数据差异有统计学意义,P〈0.05。对比两组患者治疗后的疾病知晓率、用药依从性、不良反应发生率及患者的满意度干预组均优于对照组,比较各组数据差异有统计学意义,P〈0.05。结论糖尿病患者在常规治疗的基础上给予针对性药学指导可以有效提高患者的治疗效果,降低不良反应发生率,提高患者的满意度,临床效果值得肯定。

Objective To study the diabetes patients use the medicine under the guidance of the patient to improve the effect. Methods 258 diabetic patients were chosen as the research object in the rehabilitation department of our hospital from January 2014 to June 2015, on the basis of the principle of randomly divided into the control group and the intervention group 129. During the treatment of the control group was given conventional treatment of diabetes, the intervention group on the basis of conventional group while giving targeted guidance to pharmaceutical intervention, and 6 months after treatment to observe two groups of patients treatment, compare the corresponding indexes. Results The curative effect of two groups were observed in control group after treatment in patients with abdominal blood glucose, 2 h postprandial blood glucose level, triglyceride and low density lipoprotein corresponding to（7.51±0.40） mmol/L,（10.70±0.88） mmol/L,（4.30±1.70） mmol/L,（3.20±1.10） mmol/L, intervention group corresponding index after treatment corresponding to（6.12±0.38） mmol/L,（8.24±0.78） mmol/L,（2.80±1.20） mmol/L,（1.50±0.70） mmol/L. The difference of the data in each group was statistically significant, P〈0.05. The two groups were compared after treatment of disease awareness, medication compliance, the incidence of adverse reactions and patient satisfaction were intervention group was superior to the control group, the data was compared with significant difference, P〈0.05. Conclusion Diabetic patients on the basis of conventional treatment to guide targeted medicine can effectively improve the therapeutic effect of patients, reduce the incidence of adverse reactions, and improve the patient’s satisfaction, positive clinical effect.