药品评价
藥品評價
약품평개
DRUG REEVALUATION
2014年
22期
14-17
,共4页
李桃园%张楠%杨啸白%陆红柳%张娜%夏文斌
李桃園%張楠%楊嘯白%陸紅柳%張娜%夏文斌
리도완%장남%양소백%륙홍류%장나%하문빈
2型糖尿病%低血糖风险%临床药师%评估%管理
2型糖尿病%低血糖風險%臨床藥師%評估%管理
2형당뇨병%저혈당풍험%림상약사%평고%관리
Type 2 Diabetes%Hypoglycemia risk%Clinical Pharmacist%Evaluation%Management
目的:提高糖尿病患者的安全用药意识和自我管理疾病能力,降低低血糖风险,探索临床药师参与慢病管理的方法。方法:于我院门诊就诊的2型糖尿病患者114例自愿入组,填写低血糖风险调查问卷,实施低血糖全程教育,评估干预前后入组患者的低血糖认知、知识水平和自我管理疾病的能力。结果:低血糖风险评估提示高龄、糖尿病病程较短、使用胰岛素促泌剂及使用β受体阻滞剂的患者,是临床药师实施低血糖管理的重点目标人群;临床药师实施防治低血糖全程教育后,患者的低血糖认知水平和自我管理能力有显著提高,与纳入管理前相比差异有统计学意义。结论:临床药师参与门诊糖尿病患者的慢病管理,依据低血糖风险高低实施分层次的低血糖全程教育,是控制低血糖风险的有效途径。
目的:提高糖尿病患者的安全用藥意識和自我管理疾病能力,降低低血糖風險,探索臨床藥師參與慢病管理的方法。方法:于我院門診就診的2型糖尿病患者114例自願入組,填寫低血糖風險調查問捲,實施低血糖全程教育,評估榦預前後入組患者的低血糖認知、知識水平和自我管理疾病的能力。結果:低血糖風險評估提示高齡、糖尿病病程較短、使用胰島素促泌劑及使用β受體阻滯劑的患者,是臨床藥師實施低血糖管理的重點目標人群;臨床藥師實施防治低血糖全程教育後,患者的低血糖認知水平和自我管理能力有顯著提高,與納入管理前相比差異有統計學意義。結論:臨床藥師參與門診糖尿病患者的慢病管理,依據低血糖風險高低實施分層次的低血糖全程教育,是控製低血糖風險的有效途徑。
목적:제고당뇨병환자적안전용약의식화자아관리질병능력,강저저혈당풍험,탐색림상약사삼여만병관리적방법。방법:우아원문진취진적2형당뇨병환자114례자원입조,전사저혈당풍험조사문권,실시저혈당전정교육,평고간예전후입조환자적저혈당인지、지식수평화자아관리질병적능력。결과:저혈당풍험평고제시고령、당뇨병병정교단、사용이도소촉비제급사용β수체조체제적환자,시림상약사실시저혈당관리적중점목표인군;림상약사실시방치저혈당전정교육후,환자적저혈당인지수평화자아관리능력유현저제고,여납입관리전상비차이유통계학의의。결론:림상약사삼여문진당뇨병환자적만병관리,의거저혈당풍험고저실시분층차적저혈당전정교육,시공제저혈당풍험적유효도경。
Objective:To improve the safetyof medication and self management, reduce the risk of hypoglycemia, and explore ways to participate in chronic disease management by clinical pharmacist. Methods:114 type 2 diabetes patients were collected in theoutpatient department of our hospital, questionnaire survey and hypoglycemia-related pharmacy services which were related to theknowledge of hypoglycemia and self-management skillsof patients before and after administration,were analyzed. Results: The patients with shorter duration of diabetes,advanced age, insulin secretagogues or β-bolckertreatment are the target ofpopulation of hypoglycemiamanagement. After receiving hypoglycemia-related pharmacy services, the knowledge of hypoglycemia and self-management skillsof patients has greatly improved. Conclusion: Providinghypoglycemiamanagement for type 2 diabetes patients in outpatient, according to the level of risk and carrying out appropriate management, is an appropriate way to participate in chronic disease management by clinical pharmacist.