药学服务对老年糖尿病患者认知能力及血糖控制的影响

Effect of pharmaceutical care on cognitive ability and blood sugar control of elderly diabetic patients

目的探讨药学服务对老年糖尿病患者认知功能及血糖控制的影响。方法选取2020年1月至2022年5月于湖南中医药大学第一附属医院就诊的70例老年糖尿病患者作为研究对象,采用随机数字表法分为对照组与观察组,每组35例。对照组开展常规用药指导,观察组在对照组基础上开展药学服务。比较两组认知能力、血糖水平、用药依从性、生命质量评分。结果观察组低血糖急救、血糖监测、糖尿病饮食、胰岛素注射、并发症知识评分均高于对照组,差异有统计学意义(P<0.05)。指导后,两组空腹血糖、餐后2h血糖、糖化血红蛋白A1c水平均低于指导前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组依从率为94.29%,高于对照组的71.43%,差异有统计学意义(P<0.05)。指导后,两组心理状况、人际交往、躯体功能、角色活动评分均高于指导前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论对老年糖尿病患者开展药学服务能提高其认知能力、用药依从性,控制血糖水平,改善其生命质量。

Objective To explore the effect of pharmaceutical care on cognitive ability and blood sugar control of elderly diabetic patients.Methods 70 elderly diabetic patients were admitted to the First Affiliated Hospital of Hunan University of Chinese Medicine from January 2020 to May 2022 were selected as the research subjects,they were divided into the control group and the observation group according to the random number table method,with 35 cases in each group.The control group carried out routine medication guidance,and the observation group carried out pharma-ceutical care on the basis of the control group.The cognitive ability,blood glucose level,medication compliance and quality of life scores were com-pared between the two groups.Results The scores of hypoglycemia first aid,blood glucose monitoring,diabetes diet,insulin injection and complica-tion knowledge in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Af-ter guidance,the levels of fasting blood glucose,postprandial 2 h blood glucose and glycosylated hemoglobin A1c of the two groups were lower than those before guidance,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).The com-pliance rate in the observation group was 94.29%,which was higher than 71.43%in the control group,and the difference was statistically significant(P<0.05).After guidance,the scores of psychological status,interpersonal communication,physical function and role activity of the two groups were higher than those before guidance,and the observation group was higher the control group,the differences were statistically significant(P<0.05).Conclusion Pharmaceutical care for elderly diabetic patients can improve their cognitive ability,medication compliance,control blood sugar level and improve their quality of life.