药学服务干预对社区老年高血压患者血压、用药依从性及生活质量的影响

Effects of pharmacy service intervention on blood pressure, medication compliance and quality of life in elderly hypertensive patients in the community

目的观察药学服务干预对社区老年高血压患者血压、用药依从性及生活质量的影响,探讨最佳干预措施。方法选择自2016年8月~2018年8月在我社区医院就诊的128例老年高血压患者,按随机数字表法分为两组,观察组予以药物服务干预,对照组予以常规干预,每组各64例。观察两组患者干预前后血压改善情况,用药依从性,以及采用简化舒适状况量表进行生活质量评定。结果两组患者干预前,血压(SBP、DBP)、用药依从性以生活质量各项评分比较,差异均无统计学意义;干预后,与对照组比较,观察组的SBP[(136.8±6.5)mm Hg、DBP(90.6±4.5)mm Hg]均降低明显,用药依从率(84.38%)升高明显。观察组生活质量评分中的生理得分[(30.99±2.31)分]、心理得分[(33.96±3.33)分]、社会文化得分[(26.33±2.27)分]与环境得分[(15.12±1.31)分],两组差异有统计学意义(P <0.05)。结论药学服务干预可较好的改善社区老年高血压患者血压,提高用药依从性,以及改善生活质量,适宜临床推广。

Objective To observe the effect of pharmacy service intervention on blood pressure,medication compliance and quality of life in elderly patients with hypertension in the community,and to explore the optimal intervention measures.Methods A total of 128 elderly patients with hypertension who were treated in our community hospital from August 2016 to August 2018 were selected and divided into two groups by using the random number table method,with 64 cases in each group.The observation group was given drug service intervention and the control group was given conventional intervention.The improvement of blood pressure and medication compliance before and after intervention were observed,and a simplified comfort status scale was used for quality of life assessment.Results Before intervention,there was no difference in blood pressure[systolic blood pressure(SBP),diastolic blood pressure(DBP)],medication compliance and quality of life scores between the two groups.After intervention,compared with the control group,the SBP[(136.8±6.5)mm Hg]and DBP[(90.6±4.5)mm Hg]in the observation group were significantly reduced,and the medication compliance rate was 84.38%,which increased significantly.There were significant differences in physiological score[(30.99±2.31)points],psychological score[(33.96±3.33)points],socio-cultural score[(26.33±2.27)points]and environmental score[(15.12±1.31)points]in the quality of life score between the two groups(P<0.05).Conclusion Pharmacy service intervention can better improve blood pressure,medication compliance,and quality of life in elderly patients with hypertension in the community.It is suitable for clinical promotion.