CAJ | 학술논문

目的：评价临床药师开展社区糖尿病慢病管理患者药学干预的效果。方法：选取北仑区新矸街道紫荆社区的所有糖尿病慢病管理患者为研究对象，由临床药师通过建立用药档案，对患者开展药学教育、用药指导及监护等方法，对糖尿病慢病管理患者进行药学干预，将干预前后患者对自身疾病的认知、自我管理、对胰岛素相关知识的知晓情况、血糖控制水平等进行比较。结果：临床药师干预后患者对糖尿病疾病的认知水平明显提高（P ＜0.01），患者的自我管理水平明显改善（P ＜0.01），对胰岛素相关知识的了解增加（P ＜0.05），患者血糖、血压、血脂控制情况好转（P ＜0 . 05）。结论：临床药师开展社区糖尿病慢病管理患者药学干预，可以为患者提供科学合理的用药保障，使患者血糖控制得更好，延缓并发症的发生。临床药师参与社区糖尿病慢病管理患者药学干预模式值得推广和应用。
목적：평개림상약사개전사구당뇨병만병관리환자약학간예적효과。방법：선취북륜구신안가도자형사구적소유당뇨병만병관리환자위연구대상，유림상약사통과건립용약당안，대환자개전약학교육、용약지도급감호등방법，대당뇨병만병관리환자진행약학간예，장간예전후환자대자신질병적인지、자아관리、대이도소상관지식적지효정황、혈당공제수평등진행비교。결과：림상약사간예후환자대당뇨병질병적인지수평명현제고（P ＜0.01），환자적자아관리수평명현개선（P ＜0.01），대이도소상관지식적료해증가（P ＜0.05），환자혈당、혈압、혈지공제정황호전（P ＜0 . 05）。결론：림상약사개전사구당뇨병만병관리환자약학간예，가이위환자제공과학합리적용약보장，사환자혈당공제득경호，연완병발증적발생。림상약사삼여사구당뇨병만병관리환자약학간예모식치득추엄화응용。
ABSTRACTObjective:To evaluate the pharmaceutical intervention effect of chronic disease management of dia-betes by clinical pharmacist in community.Methods:All the patients subjected to chronic disease management of diabetes in Beilun Xingan street of Bauhinia community were selected as the research objects, and pharmaceutical intervention on the patients was given by clinical pharmacists by means of establishing medication archives, provid-ing pharmaceutical education, medication guidance and pharmaceutical care to patients. The patient’s cognition of his own diseases, self management, the knowledge related to insulin and the control level of blood sugar before and after the intervention were statistically analyzed and compared.Results:After the intervention, the patient’s cognition level of diabetic disease improved significantly(P<0.01), the self management improved obviously(P<0.01), the knowledge about insulin increased greatly(P<0.05)and the control of blood glucose, blood pressure and blood lipid improved(P<0.05).Conclusion:The intervention of chronic disease management of patients with diabetes in community by clinical pharmacists is helpful to provide the reasonable medication security for pa-tients and the better control of patient’s blood sugar so that the occurrence of complications can be delayed. The mode of clinical pharmacist’s participating in chronic disease management of diabetic patients in community and providing with pharmaceutical intervention is worthy of promotion.