医师-药师-护士合作模式对血脂异常患者用药教育的效果评价

Effect evaluation of physician-pharmacist-nurse cooperation mode on medication education of patients with dyslipidemia

目的:评估医师-药师-护士合作模式对血脂异常患者用药教育的效果。方法:选取2018年10月至2019年3月北京协和医院心血管内科住院的96例血脂异常患者作为研究对象,按照随机数字表法随机分为对照组和干预组,每组各48例。对照组采取常规的护士健康教育,干预组采取药师-护士合作模式进行用药教育,患者出院后第1、3个月进行随访,对比两组患者血脂水平变化的差异。结果:出院3个月患者的血脂水平随访结果显示,干预组患者高密度脂蛋白胆固醇升高幅度(11.27%)明显优于对照组(-7.51%);干预组甘油三酯下降幅度(29.36%)明显优于对照组(-16.94%),差异均具有统计学意义(P<0.05)。结论:药师参与治疗团队可以改善血脂异常患者的治疗依从性和自我管理能力,健康生活方式有助于控制患者的血脂水平。

Objective:This study was designed to evaluate the effect of physician-pharmacist-nurse cooperation mode on medication education for patients with dyslipidemia.Methods:From October 1 st 2018 to March 31 st 2019,96 patients with hyperlipidaemia in the Department of Cardiology of Peking Union Medical College Hospital were randomly divided into control group and intervention group.The 48 patients in control group were received routine health education from nurses,while the 48 patients in intervention group were received pharmacist-nurse cooperation mode for medication education.The study was a prospective randomized controlled trial.A telephone follow-up of first,third month and the blood lipid levels of the patients in two groups were compared at the end of study.Results:Starting with similar baseline levels,at the end of study,HDL-C and triglyceride levels change for the intervention groups were HDL-C increase by 11.27%and triglyceride decrease by 29.36%,and those of control groups were HDL-C decrease by 7.51%and triglyceride increase by 16.94%respectively.The differences were statistically significant(P<0.05).Conclusion:The pharmacist’s involvement in the treatment team can improve the treatment compliance,self-management ability and guiding a healthy lifestyle that helps control the patient’s blood lipid levels for patients with dyslipidemia.