PDCA居家药学服务模式对大理白族高血压患者的管理效果评价

Evaluation of the management effect of the PDCA home-based pharmaceutical service model on hypertension patients of the Bai ethnic group in Dali

目的探讨PDCA居家药学服务模式对大理白族高血压患者的管理效果评价。方法选择2020年1—6月于大理大学第一附属医院门诊和住院治疗的106例白族原发性高血压患者,通过简单随机方法分为对照组与干预组,每组各53例。对照组接受常规药学服务;干预组采用PDCA法开展居家药学服务。观察两组患者干预前后生活质量、血压控制、用药依从性以及药物不良反应。结果开展居家药学服务干预后,干预组生活质量各项评定、血压控制以及用药依从率均优于对照组,差异有统计学意义(P<0.05);对照组药物不良反应总发生率高于干预组,差异有统计学意义(P<0.05)。结论采用PDCA法开展居家药学服务干预,能够显著提高白族高血压患者的生活质量和用药依从性,更好地控制血压并降低药物不良反应的发生。

Objective To evaluate the management effect of the PDCA home pharmacy service model on hypertensive patients of the Bai ethnic group in Dali.Methods A total of 106 patients with primary hypertension of the Bai ethnic group who received outpatient and inpatient treatment at the First Affiliated Hospital of Dali University from January to June 2020 were randomly divided into a control group and an intervention group,with 53 cases in each group.The control group received routine pharmaceutical services.The intervention group received home pharmaceutical services using the PDCA method.Observe the quality of life,blood pressure control,medication adherence,and adverse drug reactions of two groups of patients before and after intervention.Results After home pharmaceutical care intervention,the quality of life assessment,blood pressure control and medication compliance rate of the intervention group were better than those of the control group,with statistical significance(P<0.05).The total incidence of adverse drug reactions in control group was significantly higher than that in intervention group,and the difference was statistically significant(P<0.05).Conclusion The use of PDCA method for home pharmacy service intervention can significantly improve the quality of life and medication compliance of Bai ethnic hypertensive patients,better control blood pressure,and reduce the occurrence of adverse drug reactions.