上海市青浦区朱家角社区霉菌性阴道炎药事管理效果评价

Evaluation of Pharmacy Management Effect About mycotic vaginitis in Zhujiajiao Community of Qingpu District,Shanghai

目的了解社区霉菌性阴道炎控制情况,通过药事管理提高该病的治疗效果。方法在2014年朱家角社区妇女病普查阳性患者中,随机抽取50名患者作为干预组,50名作为对照组,进行健康教育和积极药事管理,建立药历和药物使用随访咨询,经过半年干预后,评价药物管理对霉菌性阴道炎的治疗效果。结果干预组干预前的健康知晓率为61.84%,经过半年的健康教育和医师药师指导后,健康知晓率达到69.76%,经检验,干预前后有显著性差异(χ2=4.325,P<0.05)。经过科学规范的治疗,治愈且不复发率达到58%,远高于未经过科学指导和干预的对照组(26%)。治愈后,复发人数为12人,低于对照组治愈后的复发人数(19)(χ2=10.509,P<0.01)。结论通过健康教育和积极有效的药事管理,加强患者的药物规范化管理,可以提高社区患者霉菌性阴道炎的治疗效果。

Objective To understand the community mould sex vaginitis control, improve the community mould sex vaginitis treatment effect through the pharmacy management. Methods At Zhujiajiao community 2014 gynecological diseases census positive patients, 50 patients were randomly selected as the intervention group, and the other 50 patients were allocated as control group. Health education and the active pharmaceutical management were performed, medical history was established, follow-up counseling of drug use was done. Mould sex vaginitis treatment effect was evaluated after six-month intervention. Results The health awareness rate before the intervention of the intervention group was 61.84%, and the post-intervention health awareness rate reached 69.76%, with significant difference(χ2=4.325, P<0.05). After scientific and standardized treatment, the curing rate without recurrence rate reached 58%, far higher than that in the control group without scientific guidance and intervention of the(26%). There were 12 patients with recurrence after curing, which was lower than that of the control group, with significant difference(χ2=10.509, P<0.01). Conclusion Therapeutic effect of community patients with mycotic vaginitis can be enhanced through the health education, active and effective pharmacy administration, and strengthening standardized drug management.