临床药师干预对2型糖尿病患者合理用药及健康管理的效果

Effect of clinical pharmacist intervention on rational drug use and health management in patients with type 2 diabetes

目的探讨临床药师干预对2型糖尿病患者合理用药及健康管理效果。方法选择2014年1月~2015年6月在廊坊市中医医院就诊的90例2型糖尿病(T2DM)患者,由专门人员登记并建立患者个人档案,对所有患者开展健康宣教和合理用药指导,随访1年,观察患者干预前后不合理用药状况、空腹血糖、血压、体重及自我管理改变状况。结果干预后药物不合理用法用量、不合理药物选择、重复给药及超适应证用药均低于干预前,差异有统计学意义(P<0.05);干预后空腹血糖、餐后2 h血糖、糖化血红蛋白及收缩压均低于干预前,差异均有统计学意义(P<0.05);干预后用药依从、监测血糖、调整饮食和加强锻炼者占比均高于干预前,差异有统计学意义(P<0.05)。结论临床药师的参与有利于T2DM患者合理用药,提高患者健康管理的临床效果。

Objective To analyze the clinical pharmacist intervention in rational use of medicine and health manage ment on patients with type 2 diabetes. Methods From January 2014 to June 2015, in Langfang TCM Hospital, 90 T2 DM patients were selected, specialized personnel registered and established the patients’ personal files, all patients were given health education and proper medication guidance. Followed-up for 1 year, unreasonable medication, fasting blood glucose, blood pressure, body weight and self-management changes before and after intervene of patients were observed. Results The dosage of unreasonable drugs, unreasonable choice of drugs, drug administration of repeated administration and hyper-indications after intervention were lower than those before intervention, the differences were statistically significant（P 〈 0.05）; fasting blood glucose, 2-hour postprandial blood glucose, hemoglobin and systolic blood pressure after intervention were lower than before intervention, the differences were statistically significant（ P 〈 0.05）.The Proportion of medication compliance, blood glucose monitoring, diet and exercise to improve the number after intervention were higher than before intervention, the differences were statistically significant（P 〈 0.05）. Conclusion The participa tion of clinical pharmacists is conducive to rationally use drugs in patients with T2 DM, and improve the clinical efficacy of patient health management.