用药教育联合信息化随访对门诊2型糖尿病患者治疗效果的影响

Effect of Medication Education Combined with Information-based Follow-up on the Treatment Effect of Outpatients with Type 2 Diabetes Mellitus

目的研究采用用药教育联合信息化随访对2型糖尿病患者治疗的临床效果。方法选取2019年3月—2020年11月北京市普仁医院门诊治疗的2型糖尿病患者200例,分为两组,每组100例,对照组进行常规药物治疗,观察组在对照组基础上接受临床药师的用药教育联合信息化随访,分析两组患者干预前后空腹血糖、糖化血红蛋白、体质指数、用药依从性的改变情况。结果干预前,两组患者临床观察指标比较,差异无统计学意义(P>0.05)。干预后,观察组患者空腹血糖、糖化血红蛋白、体质指数均低于对照组,差异有统计学意义(P<0.05);干预前,两组用药依从性评分差异无统计学意义(P>0.05)。干预后,观察组患者用药依从性评分低于对照组患者,差异有统计学意义(P<0.05)。结论临床药师通过对2型糖尿病患者开展定期的信息化随访和用药教育,患者血糖水平和用药依从性均有所提高,并且能够更好地提高患者的临床治疗效果。

Objective To study the clinical effect of using medication education combined with information-based follow-up on patients with type 2 diabetes mellitus.Methods From March 2019 to November 2020,200 patients with type 2 diabetes who were treated in the outpatient department of Beijing Puren Hospital were selected and divided into two groups,with 100 patients in each group.The control group received routine drug treatment.The observation group received medication education combined with information-based follow-up from clinical pharmacists on the basis of the control group,and analyzed the changes in fasting blood glucose,glycosylated hemoglobin,body mass index,and drug compliance of the two groups of patients before and after the intervention.Results There was no statistically significant difference between the clinical observation indexes of patients in the two groups before the intervention(P>0.05).After the intervention,fasting blood glucose,glycosylated hemoglobin and body mass index of the patients in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in medication adherence scores between the two groups before the intervention(P>0.05).After the intervention,the medication adherence scores of patients in the observation group were lower than those of patients in the control group,the difference was statistically significant(P<0.05).Conclusion Clinical pharmacists improved patients'blood glucose levels and medication adherence by conducting regular informational follow-up and medication education for patients with type 2 diabetes,which can better improve the clinical outcomes of patients.