药学服务模式对门诊青壮年高血压患者口服降压药的影响

Effect of pharmaceutical care model on oral antihypertensive drugs in young and middle-aged outpatients with hypertension

目的探讨药学服务模式对门诊青壮年高血压患者口服降压药的影响。方法选取2021年1月至2021年6月就诊于江门市人民医院心血管门诊的100例年龄18~44岁的青壮年高血压患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组各50例。对照组采用常规的药师简单口头发药交代的方式,观察组则通过微信工具开展更深层次的药学、护理服务,促进患者养成良好的生活习惯,提高自我护理能力。对比两组患者的血压控制情况、用药依从性、药品不良反应等,对比两种服务模式的降压效果应用差异。结果两组患者干预后的收缩压、舒张压均低于本组干预前,且观察组患者干预后的收缩压、舒张压低于对照组,差异有统计学意义(P<0.05)。观察组患者干预后的降压药知识掌握度、自我护理能力均高于本组干预前,且观察组患者干预后降压药知识掌握度、自我护理能力高于对照组,差异有统计学意义(P<0.05)。观察组患者干预后的血压达标率、用药依从性、医疗服务满意度均高于对照组,差异有统计学意义(P<0.05)。观察组患者干预后不良反应发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者干预后不良生活习惯率低于本组干预前,差异有统计学意义(P<0.05)。结论高血压与不良生活习惯有关,药师主导的药学服务对门诊青壮年高血压患者口服降压药的影响效果明显,可帮助患者养成良好生活习惯及自我护理能力,促进血压达标。药学服务模式可以在青壮年高血压防治工作中推广应用。

Objective To investigate the effect of pharmaceutical care model on oral antihypertensive drugs in young and middle-aged outpatients with hypertension.Methods A total of 100 young and middle-aged patients with hypertension aged 18-44 years old who were treated in the Cardiovascular Clinic of the People's Hospital of Jiangmen from January 2021 to June 2021 were selected as the research objects.They were divided into control group and observation group by random number table method,with 50 cases in each group.Patients in the control group were given simple oral medication by pharmacists,while patients in the observation group were given deeper pharmacy and nursing services through Wechat to promote patients to develop good living habits and improve their self-care ability.The blood pressure control,medication compliance,and adverse drug reactions of the two groups were compared,and the antihypertensive effects of the two service models were compared.Results The systolic blood pressure and diastolic blood pressure of the two groups after intervention were lower than those before intervention,and the systolic blood pressure and diastolic blood pressure of the observation group after intervention were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the knowledge mastery of antihypertensive drugs and self-care ability of the observation group were higher than those before the intervention,and the knowledge mastery of antihypertensive drugs and self-care ability of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The blood pressure compliance rate,medication compliance and medical service satisfaction of the observation group after intervention were higher than those of the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group after intervention,and the difference was statistically significant(P<0.05).The rate of bad living habits of patients in the observation group after intervention was lower than that before intervention,and the difference was statistically significant(P<0.05).Conclusion Hypertension is related to bad living habits.Pharmaceutical care led by pharmacists has a significant effect on oral antihypertensive drugs in young and middle-aged outpatients with hypertension,which can help patients develop good living habits and self-care ability,and promote blood pressure control.The pharmaceutical care model can be popularized and applied in the prevention and treatment of hypertension in young adults.