临床药师参与老年患者慢病管理的应用模式及效果评价

Application and Effect of Clinical Pharmacist in Chronic Disease Management of elderly Patients

目的 摸索临床药学在老年患者慢病管理过程中的模式及其效果.方法 2019年1月1日~12月31日入院的神经内科及内分泌科老年慢病患者103例,分为医护药管理组(52例)与医护管理组(51例),对比两组患者不同的管理模式所得到的效果.结果 医护药管理组的患者在生活方式改善率、用药依从性、危险因素控制等方面均优于医护管理组.结论 临床药师所提供的专业的药学服务,不仅可以提高老年患者的用药依从性,减少不良反应的发生,同时可以降低患者的急诊及再住院率,改变患者的不良生活习惯,达到患者自我管理的目的.

Objective To explore the application and effect of clinical pharmacy in the process of chronic disease management in elderly patients.Methods Totally 103 elderly patients who were hospitalized in neurology department and endocrinology department from January 1 to December 312019,and then divided into conventional CDM group(5 leases)and Clinical Pharmacist-in CDM group(52cases)hy random number method.Compare the effect of two groups in different management patterns.Results Patients in Clinical Pharmacist-in CDM group were significantly better than conventional CDM group in terms of lifestyle improvement rate,drug compliance,and risk factor control.Conclusion Professional services provided by clinical pharmacists,improve the patients drug compliance and lifestyle,reduce the occurrence of adverse reactions and the rate of rehospitalization.