CAJ | 학술논문

目的：探讨临床药师干预对2型糖尿病患者健康管理的影响，为糖尿病患者的健康管理策略提供参考。方法：通过问卷调查方式，比较临床药师干预前后，2型糖尿病住院患者在用药依从性、糖尿病及药物相关知识认知、自我血糖监测、行为与生活方式等方面的变化。结果：与临床药师干预前相比较，干预后患者的用药依从性、糖尿病及药物相关知识的认知都显著提高（P ＜0.05）；不良事件（ADE）总的发生率无统计学差异（P ＞0.05）但个别频发的低血糖现象不再发生；临床药师干预后患者自我血糖监测更加规范，空腹血糖和餐后2 h 血糖均达标者显著提高，从4例（14.29%）提高到32例（91.43%）（P ＜0.05）；患者的行为和生活方式更加健康。结论：临床药师干预可改善糖尿病患者的用药依从性、提高患者对糖尿病相关知识的知晓率，有助于改善其生活行为方式，促进患者提升自我健康管理。
목적：탐토림상약사간예대2형당뇨병환자건강관리적영향，위당뇨병환자적건강관리책략제공삼고。방법：통과문권조사방식，비교림상약사간예전후，2형당뇨병주원환자재용약의종성、당뇨병급약물상관지식인지、자아혈당감측、행위여생활방식등방면적변화。결과：여림상약사간예전상비교，간예후환자적용약의종성、당뇨병급약물상관지식적인지도현저제고（P ＜0.05）；불량사건（ADE）총적발생솔무통계학차이（P ＞0.05）단개별빈발적저혈당현상불재발생；림상약사간예후환자자아혈당감측경가규범，공복혈당화찬후2 h 혈당균체표자현저제고，종4례（14.29%）제고도32례（91.43%）（P ＜0.05）；환자적행위화생활방식경가건강。결론：림상약사간예가개선당뇨병환자적용약의종성、제고환자대당뇨병상관지식적지효솔，유조우개선기생활행위방식，촉진환자제승자아건강관리。
Objective: To explore the effects of clinical pharmacist intervention on health management of patients with type 2 diabetes and provide a reference for health management strategy of patients with type 2 diabetes. Methods: The changes of inpatients with type 2 diabetes in medication compliance, cognition of the knowledge related to diabetes and therapeutic drugs, self-monitoring of blood glucose, behavior and lifestyle before and after clinical pharmacists intervention were compared by questionnaire. Results: After the intervention, patients’ medication compliance, cognition of the knowledge related to diabetes and therapeutic drugs were significantly improved (P<0.05). The total incidence of ADE showed no statistical difference (P>0.05), however, the individual hypoglycemia frequently appeared before no longer occurred. Self-monitoring of blood glucose became more regulated after intervention. Patients attaining the goals of fasting and postprandial blood glucose were significantly increased from 4 cases (14.29%) to 32 cases (91.43%) (P<0.05). Behavior and lifestyle of the patients were also healthier. Conclusion: Clinical pharmacist intervention can improve the patients’ medication compliance and raise awareness of diabetes-related knowledge and is of benefit to improving their lifestyle and promoting self-management of health.