目的:分析护理干预对2型糖尿病患者的可行性。方法:选取顺德区龙江社区病程在1年以上的依从性不佳的老年糖尿病患者150例,按照双盲随机数字表法将150例患者随机分为两组,分为对照组和管理组。其中对照组患者实施常规管理。管理组患者实...目的:分析护理干预对2型糖尿病患者的可行性。方法:选取顺德区龙江社区病程在1年以上的依从性不佳的老年糖尿病患者150例,按照双盲随机数字表法将150例患者随机分为两组,分为对照组和管理组。其中对照组患者实施常规管理。管理组患者实施医院—社区健康服务中心—家庭一体化管理模式。两组均进行为期1年的干预。观察2年后两组患者:生命质量的变化、空腹血糖(FBG)、餐后2 h血糖(2 h PBG)和糖化血红蛋白(Hb A1c)的变化、发病次数、住院次数、住院天数、医疗费用、生活饮食习惯、自我血糖监测、遵医嘱用药行为、运动行为依从性。结果:管理组患者发病次数、住院次数、住院天数、医疗费用明显少于对照组,组间经t检验有显著的统计学差异(P<0.05)。管理组干预后生命质量、FBG、2 h PBG和Hb A1c明显优于对照组,组间经t检验有显著的统计学差异(P<0.05)。管理组生活饮食习惯、自我血糖监测、遵医嘱用药行为、运动行为依从性明显高于对照组,组间经x2检验有显著的统计学差异(P<0.05)。结论:医院—社区—家庭一体化管理模式对糖尿病患者的应用价值高,可有效提升患者遵医行为,有助于控制患者发病率,减少住院率,减轻医疗负担,还有助于改善患者血糖水平,提升其生命质量,值得推广。展开更多
To assess the efficacy of pharmacist lead insulin management in improvement of HbAlc. Patients were referred to the LMttS (Licking Memorial Health Systems) Outpatient Medication Therapy Insulin Clinic by their physi...To assess the efficacy of pharmacist lead insulin management in improvement of HbAlc. Patients were referred to the LMttS (Licking Memorial Health Systems) Outpatient Medication Therapy Insulin Clinic by their physician during the time periods of July 2012 through March 2013 and August 2014 through December 2014. Physician authorization permitted pharmacists to provide clinical monitoring in order to evaluate and adjust insulin, GLP-I agonist and amylin mimetic doses by adhering to approved dosing guidelines and policy and procedures. Hemoglobin Atc values were obtained from the patients electronic medical records. Patients achieved an average decrease in HbAlc of 0.8 percentage points over a mean of 83 days. Pharmacist insulin management is an innovative pharmacy service through which clinical pharmacists can have an impact on patients' HbAtc.展开更多
文摘目的:分析护理干预对2型糖尿病患者的可行性。方法:选取顺德区龙江社区病程在1年以上的依从性不佳的老年糖尿病患者150例,按照双盲随机数字表法将150例患者随机分为两组,分为对照组和管理组。其中对照组患者实施常规管理。管理组患者实施医院—社区健康服务中心—家庭一体化管理模式。两组均进行为期1年的干预。观察2年后两组患者:生命质量的变化、空腹血糖(FBG)、餐后2 h血糖(2 h PBG)和糖化血红蛋白(Hb A1c)的变化、发病次数、住院次数、住院天数、医疗费用、生活饮食习惯、自我血糖监测、遵医嘱用药行为、运动行为依从性。结果:管理组患者发病次数、住院次数、住院天数、医疗费用明显少于对照组,组间经t检验有显著的统计学差异(P<0.05)。管理组干预后生命质量、FBG、2 h PBG和Hb A1c明显优于对照组,组间经t检验有显著的统计学差异(P<0.05)。管理组生活饮食习惯、自我血糖监测、遵医嘱用药行为、运动行为依从性明显高于对照组,组间经x2检验有显著的统计学差异(P<0.05)。结论:医院—社区—家庭一体化管理模式对糖尿病患者的应用价值高,可有效提升患者遵医行为,有助于控制患者发病率,减少住院率,减轻医疗负担,还有助于改善患者血糖水平,提升其生命质量,值得推广。
文摘To assess the efficacy of pharmacist lead insulin management in improvement of HbAlc. Patients were referred to the LMttS (Licking Memorial Health Systems) Outpatient Medication Therapy Insulin Clinic by their physician during the time periods of July 2012 through March 2013 and August 2014 through December 2014. Physician authorization permitted pharmacists to provide clinical monitoring in order to evaluate and adjust insulin, GLP-I agonist and amylin mimetic doses by adhering to approved dosing guidelines and policy and procedures. Hemoglobin Atc values were obtained from the patients electronic medical records. Patients achieved an average decrease in HbAlc of 0.8 percentage points over a mean of 83 days. Pharmacist insulin management is an innovative pharmacy service through which clinical pharmacists can have an impact on patients' HbAtc.