药师个体化干预在社区老年慢性病服务模式的建立与探讨

Establishment of individualized pharmaceutical intervention of chronic diseases among community elderly

目的通过对社区老年慢性病患者开展药师个体化干预实践,探讨药师对患者合理用药的影响和干预模式的评价。方法从社区老年慢性病患者中筛选出100例进行干预,6月后评价患者在用药数量、用药依从性、日常生活能力以及再次入院率等方面的变化。结果干预后,患者用药数量和再次入院率显著下降(Z=0.91,P<0.05;χ^2=5.827,P<0.05);患者用药依从性和日常生活自理能力较干预前显著提高(Z=4.002,P<0.001;Z=6.84,P<0.001)。结论通过对温江地区社区老年慢性病患者进行药师个体化干预,患者的用药依从性和日常生活自理能力得到提高,患者的用药数量和再次入院率显著降低,本研究为建立适用于社区老年慢性病患者的标准化药师个体化干预流程提供参考。

Objective To explore the role of pharmacists in the medication compliance of elderly patients with chronic diseases and evaluate the service mode through the individualized intervention of pharmacists in the community.Methods Totally 100 elderly patients with chronic diseases in the community were selected.After 6 months,the patients’long-term drug quantity,drug compliance and daily living ability,as well as whether they were hospitalized were evaluated.Results After the intervention,the drug amount and patient readmission rate were dropped significantly(Z=0.91,P<0.05;χ^2=5.827,P<0.05).The patients’medication compliance and self-care ability in daily life were significantly improved compared with before the intervention(Z=4.002,P<0.001;Z=6.84,P<0.001).Conclusion Through the individualized intervention of pharmacists for elderly patients with chronic diseases in the communities of Wenjiang area,the medication compliance and selfcare ability of the patients in daily life are improved,and the amount of medication and readmission rate of patients are significantly reduced.This study provides a reference for establishing the standard individualized intervention for elderly patients with chronic diseases in the community by pharmacists.