中国药师
中國藥師
중국약사
CHINA PHARMACIST
2015年
2期
291-292,306
,共3页
俞慧群%王珍珍%张淑燕%赵昕%丁晓晓
俞慧群%王珍珍%張淑燕%趙昕%丁曉曉
유혜군%왕진진%장숙연%조흔%정효효
临床药师%高血压%慢病管理%药学干预%药学服务
臨床藥師%高血壓%慢病管理%藥學榦預%藥學服務
림상약사%고혈압%만병관리%약학간예%약학복무
Clinical pharmacist%Hypertension%Chronic disease management%Pharmaceutical intervention%Pharmaceutical care
目的：：评价临床药师对高血压慢病管理患者开展药学干预的效果。方法：选取北仑区新矸街道紫荆社区的所有高血压慢病管理患者为研究对象，由临床药师定期和社区医生一起对慢性病患者进行面对面用药指导、电话交流沟通、上门随访、专题健康讲座等方法，为慢病管理患者提供用药指导，实施药学干预，将干预前后患者对自身疾病的认知水平、血压控制水平、用药依从性等进行统计并比较。结果：临床药师干预后患者对高血压和抗高血压用药的认识水平有明显提高(P<0.05或P<0.01)，患者血压控制水平及用药依从性明显改善(P<0.01)，非预约就诊率、急诊率、住院率及住院次数明显下降(P<0.05或0.01)。结论：临床药师开展高血压慢病管理患者的药学干预，可以为患者提供科学合理的用药保障，提高患者的生活质量，值得推广。
目的：：評價臨床藥師對高血壓慢病管理患者開展藥學榦預的效果。方法：選取北崙區新矸街道紫荊社區的所有高血壓慢病管理患者為研究對象，由臨床藥師定期和社區醫生一起對慢性病患者進行麵對麵用藥指導、電話交流溝通、上門隨訪、專題健康講座等方法，為慢病管理患者提供用藥指導，實施藥學榦預，將榦預前後患者對自身疾病的認知水平、血壓控製水平、用藥依從性等進行統計併比較。結果：臨床藥師榦預後患者對高血壓和抗高血壓用藥的認識水平有明顯提高(P<0.05或P<0.01)，患者血壓控製水平及用藥依從性明顯改善(P<0.01)，非預約就診率、急診率、住院率及住院次數明顯下降(P<0.05或0.01)。結論：臨床藥師開展高血壓慢病管理患者的藥學榦預，可以為患者提供科學閤理的用藥保障，提高患者的生活質量，值得推廣。
목적：：평개림상약사대고혈압만병관리환자개전약학간예적효과。방법：선취북륜구신안가도자형사구적소유고혈압만병관리환자위연구대상，유림상약사정기화사구의생일기대만성병환자진행면대면용약지도、전화교류구통、상문수방、전제건강강좌등방법，위만병관리환자제공용약지도，실시약학간예，장간예전후환자대자신질병적인지수평、혈압공제수평、용약의종성등진행통계병비교。결과：림상약사간예후환자대고혈압화항고혈압용약적인식수평유명현제고(P<0.05혹P<0.01)，환자혈압공제수평급용약의종성명현개선(P<0.01)，비예약취진솔、급진솔、주원솔급주원차수명현하강(P<0.05혹0.01)。결론：림상약사개전고혈압만병관리환자적약학간예，가이위환자제공과학합리적용약보장，제고환자적생활질량，치득추엄。
Objective: To evaluate the intervention effect of clinical pharmacists in hypertension chronic disease management. Methods:All the patients with hypertensive chronic diseases from Ziyang community, Xingan Street, Beilun district were involved in the study. Combined with community doctors, clinical pharmacists provided pharmaceutical care for the patients, such as regular face-to-face medication guide, telephone communication, home follow-up, special lectures on health and so on. The cognitive level, blood pressure control level and medication compliance were statistically analyzed and compared before and after the pharmacy intervention. Results:After the intervention of clinical pharmacists, the level of hypertension cognition and the level of antihypertensive drug under-standingof the patients was improved significantly (P<0. 05 or 0. 01), the level of blood pressure control and medication compliance of the patients were improved significantly (P<0. 01), and unscheduled outpatient rate, emergency rate, hospitalization rate and fre-quency were decreased (P<0. 05 or 0. 01). Conclusion: Pharmacy intervention carried out by clinical pharmacists for the patients with hypertension chronic diseases can provide reasonable medication security and improve the quality of life, and the pharmacy inter-vention mode for the hypertension chronic disease management is worthy of promotion.
