摘要
目的:探讨临床药师主导的慢病管理对老年高血压患者用药依从性的改善效果。方法:共纳入调查对象71例,按照随机数字表法分为对照组及干预组,临床药师对2组进行不同周期的药学服务。在出院第3、6个月分别对2组患者是否有漏服药物、自行停药或减少药量情况、药物了解程度及用药依从性进行评价。结果:在出院第3、6个月,干预组漏服药物率(12.00%、24.00%)、自行停药或减少药量情况发生率(16.00%、4.00%)明显少于对照组漏服药物率(56.25%、59.38%)、自行停药或减少药量情况发生率(46.88%、43.75%),P<0.05干预组药物了解程度[(1.32±0.56)分、(1.16±0.37)分]明显优于对照组[(2.00±0.67)分、(1.97±0.74)分],P<0.05;干预组用药依从性[(1.36±1.11)分、(1.04±0.89)分]明显优于对照组[(2.44±1.19)分、(2.38±1.29)分],P<0.05。结论:临床药师主导的慢病管理可改善老年高血压患者的用药依从性,从而进一步提高临床指标达标率。
Objective: To explore the effect of chronic disease management led by clinical pharmacists on improving,drug compliance in elderly patients with hypertension. Methods: A total of 71 patients were enrolled in the study. They were divided into control group and intervention group according to the random number table method. Clinical pharmacists provided pharmaceutical care to both the two groups in different cycles. At the 3 rd and 6 th month after discharge, the patients in the two groups were assessed whether they had missed medication, stopped medication or reduced dosage, and the degree of drug understanding and drug compliance. Results: At the 3 rd and 6 th month after discharge, the rate of drug omission(12.00%, 24.00%) and the rate of drug withdrawal or reduction(16.00%, 4.00%) in the intervention group were significantly lower than those in the control group(drug omission 56.25%,59.38%; drug withdrawal or reduction 46.88%, 43. 75%),P < 0.05. The degree of understanding [(1. 32 ± 0. 56),(1.16 ±0.37)] was significantly better than that of the control group[(2.00 ±0. 67),(1.97 ±0. 74)],P <0. 05; the compliance of the intervention group[(1.36±1. 11),(1.04±0.89)] was significantly better than that of the control group[(2.44±1.19),(2. 38±1.29)],P<0.05. Conclusion: Clinical pharmacist-led chronic disease management can improve the medication adherence in elderly patients with hypertension, further improving the rate of reaching the standard of clinical indicators.
引文
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