临床药师参与糖尿病整合门诊的药学服务

Pharmaceutical Care in Integrated Diabetes Out-patient Participated by Clinical Pharmacists

目的介绍临床药师参与糖尿病整合门诊、提供药学服务的工作体会。方法对上海交通大学附属第六人民医院糖尿病整合门诊中患者的临床特点和临床药师的工作方式、效果进行分析。结果糖尿病整合门诊药学服务的患者年龄主要分布在40~70岁(占81.7%),患病时间5~10年占51.7%,合并其他疾病的患者占90.0%,主要依靠口服降糖药降低血糖的患者占比最高(占50.0%)。经过临床药师的用药指导,患者用药依从性由30.0%上升至80.0%,血糖达标率由8.3%上升至41.7%,不良反应发生率由10.0%下降至3.3%。结论临床药师参与糖尿病整合门诊,有助于提高患者用药的有效性和安全性,体现了临床药师的专业价值,值得推广。

Objective To introduce the working experience of clinical pharmacists who provide pharmaceutical service in participating integrated diabetes out-patient.Methods Review and analyze the patients＇ clinical features and the clinical pharmacists＇ working model and effect in integrated diabetes out-patient of the Sixth People＇s Hospital Affiliated to Shanghai Jiaotong University.Results Among these patients who got pharmaceutical service in integrated diabetes out-patient, 81.7% were 40 to 70 years old, 51.7% had diabetes for 5 to 10 years, 50.0% were taking oral antidiabetic drugs to control blood glucose, and 90.0% were having complications.After the medication guide by clinical pharmacists,patients＇ medication compliance was increased from the percentage of 30.0% to 80.0%, the good control rate of blood glucose was increased from the percentage of 8.3% to 41.7%, and the incidence rate of adverse reaction was reduced from 10.0% to 3.3%.Conclusion Clinical pharmacists who actively participate in integrated diabetes out-patient could ensure the effective and safe treatment to diabetic patients.Therefore, this model is worth to be popularized due to professional value of clinical pharmacists.