药师参与门诊老年高血压患者慢病管理的效果评价

Effectiveness Evaluation of Pharmacists in the Management of Chronic Disease in Elderly Hypertensive Patients

目的:评价药学服务对门诊老年高血压患者开展药学干预的效果。方法:选取本院门诊就诊的高血压患者200例,随机分成两组:对照组行常规用药指导;干预组行高血压病的相关医学知识、合理用药知识教育,定期随访、用药指导等干预措施,历时12个月。以患者血压控制率、对高血压知识的认知程度和用药依从性作为评价指标。结果:干预组血压达标率从31.13%提高到74.71%,高血压认知问卷分数从干预前的61.07分提高到77.07分,不及格率从39.08%下降到2.30%;用药依从性从31.00%提高到86.20%,与干预前比较均有显著差异(P<0.05),与对照组比较差异有统计学意义(P<0.05)。结论:药师主导的药学服务有助于增强患者对疾病和合理用药的认知,提高血压达标率和用药依从性。

Objective:To evaluate the effect of pharmacy services on outpatient pharmacological intervention in elderly hypertensive patients.Methods:Two hundred patients with hypertension in our hospital were randomly divided into two groups.For 12 months,patients of the control group were given conventional medication guidance,and patients of the intervention group were given education about hypertension and rational medication knowledge,combined with regular follow-up and medication guidance and other interventions.Patients'blood pressure control rate,awareness of hypertension knowledge,and medication compliance were used as evaluation indicators.Results:After 12 months of intervention,the blood pressure control rate of patients in the intervention group increased from 31.13%to 74.71%,the score of the hypertension cognitive questionnaire increased from 61.07 to 77.07,the failure rate decreased from 39.08%to 2.30%,and the medication compliance increased from 31.00%to 86.20%,which were significantly different from those before intervention(P<0.05),and the differences between the intervention and the control groups were statistically significant(P<0.05).Conclusion:Pharmacy services help to promote patients'rational use of medicines,improve blood pressure control rate and medication compliance.