临床药师干预对糖尿病患者用药认知度的影响

Effect of Clinical Pharmacist Intervention on Medication Cognition in Diabetic Patients

目的:探讨临床药师干预对糖尿病患者血糖控制效果和用药认知度的影响.方法:建立《糖尿病患者用药认知度评估量表》及《糖尿病患者合理用药科普干预指导手册》.选取2018年6—12月天津市中医药研究院附属医院糖尿病科收治的100例2型糖尿病患者,以随机数字表法分为干预组和对照组,每组50例.对照组患者采用常规治疗,由医师、护士实施用药指导;干预组患者在常规治疗的基础上由临床药师运用科普指导手册实施药学干预.对两组患者干预前后在疾病、药物治疗和自我健康管理3个维度20个条目的认知度评分及血糖控制水平进行对比分析.结果:干预后,干预组患者对疾病、治疗药物和自我健康管理的认知度评分分别为(4.39±0.76)、(9.00±1.28)和(3.88±0.84)分,明显高于对照组的[(3.86±0.86)、(6.90±1.79)和(3.17±0.91)分],差异均有统计学意义(P<0.001);干预组患者认知度评分优秀率为86.00%(43/50),明显高于对照组的48.00%(24/50),差异有统计学意义(P<0.05).两组患者出院时的空腹血糖、餐后2 h血糖水平均较入院时明显降低,且干预组患者血糖水平降低幅度明显大于对照组,差异均有统计学意义(P<0.05).结论:临床药师干预可显著提升糖尿病患者的用药认知度,有助于稳定患者血糖水平,提高患者用药的安全性和有效性.

OBJECTIVE:To probe into the effect of clinical pharmacist intervention on blood-glucose control and medication cognition in diabetic patients.METHODS:To establish Medication Cognition Assessment Scale for Diabetic Patients and Education and Intervention Guidebook on Rational Drug Application for Diabetic Patients.100 patients with type 2 diabetes admitted into diabetic department in the Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine from Jun.to Dec.2018 were selected and divided into intervention group and control group via random number table,with 50 cases in each group.The control group was treated with conventional therapy,and given medication guidance by clinicians and nurses;on the basis of control group,the intervention group was given pharmaceutical interventions by clinical pharmacist using the Education Guidebook.Differences in blood-glucose control levels and cognitive degree on 20 items in the dimensions of disease,drug therapy and self-health management between the two groups before and after intervention were compared.RESULTS:After intervention,scores of cognitive degree on disease,drug therapy and self-health management of intervention group were respectively(4.39±0.76),(9.00±1.28)and(3.88±0.84)points,which were significantly higher than those of the control group[(3.86±0.86),(6.90±1.79)and(3.17±0.91)points],with statistically significant difference(P<0.001);the excellent rate of cognitive degree of intervention group was 86.00%(43/50),which was significantly higher than that of the control group(48.00%,24/50),with statistically significant difference(P<0.05).When discharging,he fasting blood glucose and 2h postprandial blood glucose levels of both groups were significantly lower than those in the hospital,and the decreasing amplitude of blood glucose in intervention group were significantly greater than that in the control group(P<0.05).CONCLUSIONS:Clinical pharmacist intervention can significantly improve the medication cognition of diabetic patients,help to stabilize blood glucose levels,improve safety and effectiveness.