中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
16期
16-18
,共3页
临床药师干预模式%华法林%依从性%疗效%生活质量
臨床藥師榦預模式%華法林%依從性%療效%生活質量
림상약사간예모식%화법림%의종성%료효%생활질량
Clinical pharmacist intervention mode%Warfarin%Compliance%Curative effect%Quality of life
目的：研究临床药师干预模式对华法林患者依从性、临床疗效以及生活质量的影响。方法：选取本院2013年6月-2014年6月收治的60例慢性房颤患者作为研究对象，按出院顺序随机分为观察组与对照组，每组各30例。观察组采用临床药师干预模式，对照组无药师参与，对比两组患者用药依从性、疗效以及生活质量的差异。结果：观察组的总依从性为86.67%，明显高于对照组的56.67%，两组比较差异有统计学意义（P<0.05）；观察组血栓出现率以及总出血率分别为0、6.67%，明显低于对照组的13.33%和26.67%，两组比较差异有统计学意义（P<0.05）；观察组出院1年后各项评分均显著高于对照组，差异有统计学意义（P<0.05）。结论：对接受华法林治疗患者采取药师干预模式可以提高其用药依从性以及疗效，并提高患者的生存质量，具有较高的临床推广价值。
目的：研究臨床藥師榦預模式對華法林患者依從性、臨床療效以及生活質量的影響。方法：選取本院2013年6月-2014年6月收治的60例慢性房顫患者作為研究對象，按齣院順序隨機分為觀察組與對照組，每組各30例。觀察組採用臨床藥師榦預模式，對照組無藥師參與，對比兩組患者用藥依從性、療效以及生活質量的差異。結果：觀察組的總依從性為86.67%，明顯高于對照組的56.67%，兩組比較差異有統計學意義（P<0.05）；觀察組血栓齣現率以及總齣血率分彆為0、6.67%，明顯低于對照組的13.33%和26.67%，兩組比較差異有統計學意義（P<0.05）；觀察組齣院1年後各項評分均顯著高于對照組，差異有統計學意義（P<0.05）。結論：對接受華法林治療患者採取藥師榦預模式可以提高其用藥依從性以及療效，併提高患者的生存質量，具有較高的臨床推廣價值。
목적：연구림상약사간예모식대화법림환자의종성、림상료효이급생활질량적영향。방법：선취본원2013년6월-2014년6월수치적60례만성방전환자작위연구대상，안출원순서수궤분위관찰조여대조조，매조각30례。관찰조채용림상약사간예모식，대조조무약사삼여，대비량조환자용약의종성、료효이급생활질량적차이。결과：관찰조적총의종성위86.67%，명현고우대조조적56.67%，량조비교차이유통계학의의（P<0.05）；관찰조혈전출현솔이급총출혈솔분별위0、6.67%，명현저우대조조적13.33%화26.67%，량조비교차이유통계학의의（P<0.05）；관찰조출원1년후각항평분균현저고우대조조，차이유통계학의의（P<0.05）。결론：대접수화법림치료환자채취약사간예모식가이제고기용약의종성이급료효，병제고환자적생존질량，구유교고적림상추엄개치。
Objective:To study the influence of clinical pharmacist intervention model on compliance,clinical efficacy and life quality of warfarin.Method:60 patients with chronic AF were selected in our hospital from June 2013 to June 2014 as the research object,and were divided into observation group and control group according to the discharge order,30 cases in each group.The observation group was treated with clinical pharmacist intervention,control group was treated without pharmacists, drug compliance,efficacy and life quality of two groups were compared.Result:The total compliance of the observation group was 86.67%,significantly higher than the control group of 63.33%,the difference was statistically significant(P<0.05); occurrence rates of thrombosis and bleeding rates of observation group were 0 and 6.67%,significantly lower than control group of 13.33% and 26.67%,the differences were statistical significance(P<0.05); when the observation group discharged after 1 years,the scores were significantly higher than those in the control group,the differences were statistically significant(P<0.05). Conclusion:Pharmacists intervention mode to accept warfarin treatment can improve the medication compliance and curative effect,improve the quality of life of patients,has high clinical value.
