社区药师对糖尿病患者进行家庭用药指导的效果分析

Effect analysis of family medication guidance for patients with diabetes mellitus by community pharmacists

目的探讨社区药师通过家庭用药指导参与糖尿病慢病干预的效果。方法100例血糖控制不理想的2型糖尿病患者作为研究对象,按照动态随机分组法分为对照组和观察组,每组50例。对照组采用常规干预,观察组采用社区药师家庭用药指导。比较两组患者的饮食、用药、运动、血糖检测依从性,干预前后的空腹血糖、餐后2 h血糖、糖化血红蛋白水平,生活质量量表(SF-36)评分及用药指导满意度评分。结果观察组患者的饮食、用药、运动、血糖检测依从性分别为96.00%、96.00%、98.00%、94.00%,均高于对照组的84.00%、82.00%、86.00%、80.00%,差异均具有统计学意义(P<0.05)。干预后,两组患者的空腹血糖、餐后2 h血糖、糖化血红蛋白水平均较本组干预前降低,且观察组均低于对照组,差异均具有统计学意义(P<0.05)。观察组患者的SF-36评分为(88.97±4.16)分、满意度评分为(90.86±3.59)分,均高于对照组的(76.12±4.11)、(83.50±3.20)分,差异均具有统计学意义(P<0.05)。结论社区药师参与糖尿病慢病干预,提供家庭用药指导能够显著提高患者的依从性并改善血糖水平,提高患者的生活质量,提升其干预满意度,应用价值较高,值得推广。

Objective To discuss the effect of family medication guidance for patients with diabetes mellitus by community pharmacists.Methods A total of 100 cases of type 2 diabetes mellitus patients with poor blood glucose control as the research subjects were divided into control group and observation group according to dynamic random grouping method,with 50 cases in each group.The control group received conventional intervention,and the observation group received family medication guidance by community pharmacists.The compliance of diet,medication,exercise and blood glucose test,fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin levels before and after intervention,short-form 36 health survey scale(SF-36)score and medication guidance satisfaction score were compared between the two groups.Results The compliance rate of diet,medication,exercise and blood glucose test of the observation group were 96.00%,96.00%,98.00%and 94.00%,which were all higher than 84.00%,82.00%,86.00%and 80.00%of the control group,and the difference was statistically significant(P<0.05).After intervention,the fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin levels of the two groups were lower than those before intervention,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The SF-36 score(88.97±4.16)points and satisfaction score(90.86±3.59)points of the observation group were higher than(76.12±4.11)and(83.50±3.20)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Community pharmacists participating in chronic disease intervention and providing family medication guidance can significantly improve patient compliance and blood glucose levels,improve patients’quality of life,and improve their intervention satisfaction.This method has high practical value and are worthy of promotion.