药师线上指导在外痔复发防治中的效果研究

Study on the Effect of Pharmacist Online Guidance in the Prevention and Relapse of External Hemorrhoids

目的通过观察药师干预下患者的外痔复发情况,探讨药师线上指导在外痔防治中的应用价值。方法选取2018年1月—2022年6月在钦州市第二人民医院就诊的外痔患者108例,按照抛币法将患者随机分成对照组和观察组两组,每组54例。对照组按肛肠科常规局部用药治疗,观察组则在对照组常规治疗的基础上由临床药师线上通过互联网对患者进行日常指导,包括饮食指导、用药指导及生活习惯指导等干预,观察比较两组患者2年内复发率、发病天数、治疗后康复时长和治疗医药费开支情况差异。结果临床药师干预后观察组患者2年内外痔复发率明显低于对照组,差异有统计学意义(P<0.05);观察组复发患者发病天数、康复时长和治疗医药费都明显低于对照组,且观察组复发患者发病天数、康复时长和治疗医药费也都明显低于干预前,差异有统计学意义(P<0.05)。结论在外痔复发防治中临床药师通过线上指导,提高患者对疾病的认知度和防治依从性,可有效预防痔疮复发,明显降低患者复发率。

Objective Observing the recurrence of external hemorrhoids in patients under the intervention of pharmacists,in order to explore the application value of online guidance of pharmacists in the prevention and treatment of external hemorrhoids.Methods A total of 108 patients diagnosed with external hemorrhoids who visited Qinzhou Second People's Hospital from January 2018 to June 2022 wree selected as research subjects.According to coin toss,the patients were randomly divided into two groups:control group(54 cases)and observation group(54 cases).The control group was treated with routine local medication in the anorectal department,while the observation group received daily guidance from clinical pharmacists online through the internet on the basis of routine treatment in the control group,including dietary guidance,medication preparation guidance,and lifestyle guidance.The recurrence rate,the average days of illness,the recovery time after treatment and the drug expenses were compared between the two groups.Results After intervention by clinical pharmacists,the recurrence rate of hemorrhoids in the observation group(33.33%)was significantly lower than that in the control group(68.52%)within 2 years,with a statistically significant difference(P<0.05).In the observation group,the number of days of illness,the recovery time and the cost of treatment drugs were significantly lower than those in the control group.Moreover,the incidence days,rehabilitation time,and treatment drug costs of patients who experience recurrence of the disease in the observation group were significantly lower than before the intervention,with statistically significant differences(P<0.05).Conclusion In the prevention and treatment of external hemorrhoids recurrence,clinical pharmacists provide online guidance to improve patients'awareness of the disease and compliance with prevention and treatment,which can effectively prevent hemorrhoids recurrence and significantly reduce the recurrence rate of patients.