慢病患者用药时间轴教育单的建立与效果评价

Establishment and Evaluation of Medication Timeline Education List on Chronic Disease Patients

目的:建立慢病患者用药时间轴教育单,考察其对患者用药依从性和有效性的影响。方法:以2018年1-10月笔者所在医院心病科、内分泌科患者作为研究对象,将其分为对照组(n=65)和观察组(n=65),对照组接受传统医疗服务项目,观察组在此基础上增加用药时间轴教育单,比较两组患者入院期间和出院3个月随访时的用药依从性、用药偏差,以及6个月后的再入院次数及药物不良反应发生例数。结果:观察组出院3个月用药依从性显著高于对照组(P<0.01),观察组出院3个月用药偏差发生率和6个月后再入院次数、药物不良反应发生例数均明显低于对照组(P<0.01)。结论:临床药师以用药时间轴教育单对慢病患者开展药学服务,显著提高患者用药依从性,降低用药偏差,减少非预约再入院率和相关药物不良反应发生例数,用药时间轴教育单在慢病患者管理中起着重要作用。

Objective:To establish a medication timeline education list and investigate the influence of medication timeline education list in patients with drug safety and efficacy.Method:Taking the patients of cardiology and endocrinology in our hospital from January to October 2018 as the research object.Patients were divided into control group(n=65)and experimental group(n=65).The control group received the traditional medical service program.On the basis of this,the experimental group increased the medication timeline education list.We compared medication adherence,medication bias,the number of readmissions after 6 months and the number of adverse drug reactions in the two groups at the time of admission and at the 3-month follow-up.Result:The medication adherence of the experimental group during admission and discharge for 3 months was significantly higher than that of the control group(P<0.01).The incidence of medication deviation in the observation group,the number of readmissions after 6 months and the number of adverse drug reactions were significantly lower than the control group(P<0.01).Conclusion:Clinical pharmacists use the medication timeline education list to provide pharmacy services to patients with chronic diseases,significantly improve patient compliance,reduce medication bias,and reduce non-reserved readmission rate.The medication timeline education list plays an important role in the management of chronically ill patients.