药学服务对老年患者出院后持续治疗的效果评价
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摘要
目的:评价江苏省省级机关医院(以下简称"我院")药学服务对老年患者出院后持续治疗的效果。方法:选取2016年7月至2017年7月我院住院患者129例,随机分为常规治疗组(61例)、药学服务组(68例)。常规治疗组患者接受传统医-护住院医疗服务及入院药学评估,出院时接受护士用药咨询;药学服务组患者接受传统医-护住院医疗服务及全程药学服务,出院时接受临床药师用药指导。干预前和出院后30 d对患者进行电话或面对面随访,比较两组患者对药物治疗方案的理解、用药依从性、药品不良事件发生率及患者满意度等方面的差异。结果:出院后随访结果显示,药学服务组中知道出院带药用途、能基本正确描述药物用法与用量的患者所占比例分别为92.6%(63/68)、88.2%(60/68),分别明显高于常规治疗组的77.0%(47/61)、63.9%(39/61),差异均有统计学意义(P<0.05)。干预后,药学服务组中用药依从性良好患者所占比例为91.2%(62/68),明显高于常规治疗组的72.1%(44/61),差异有统计学意义(P<0.05),表明药学服务组患者用药依从性的提升明显优于常规治疗组。结论:老年患者住院期间接受药学服务有利于其出院后持续进行规范的药物治疗。
OBJECTIVE: To evaluate the effects of pharmaceutical care on continuous treatment of elderly patients after discharge in Jiangsu Province Official Hospital(hereinafter referred to as "our hospital"). METHODS: A total of 129 inpatients admitted into our hospital from Jul. 2016 to Jul. 2017 were randomly divided into the conventional treatment group(61 cases) and the pharmacy service group(68 cases). Patients in the conventional treatment group received traditional medical care and inpatient medical services and hospital pharmacy evaluation, the patients were consulted by nurses at the time of discharge. Patients in the pharmacy service group received traditional medical care and inpatient medical services and full-course pharmacy services, the patients were instructed by clinical pharmacists at the time of discharge. Patients were interviewed by telephone or face-to-face before intervention and 30 d after discharge. The differences between two groups in understanding drug treatment, drug compliance, incidence of adverse drug events, and patient satisfaction were compared. RESULTS: The follow-up results after discharge showed that 92.6%(63/68) and 88.2%(60/68) of the patients in the pharmacy service group knew the use of discharged drugs and could basically describe drug usage and dosage, respectively, which were significantly higher than 77.0%(47/61) and 63.9%(39/61) of the conventional treatment group, with statistically significant differences(P<0.05). After the intervention, the proportion of patients with good medication compliance in the pharmacy service group was 91.2%(62/68), which was significantly higher than that of the conventional treatment group 72.1%(44/61), the difference was statistically significant(P<0.05), which showed that the drug compliance of patients in the pharmacy service group was significantly better than that of the conventional treatment group. CONCLUSIONS: The admission of pharmaceutical care to elderly patients during hospitalization is conducive to the continuous standardized drug treatment after discharge.
OBJECTIVE: To evaluate the effects of pharmaceutical care on continuous treatment of elderly patients after discharge in Jiangsu Province Official Hospital(hereinafter referred to as "our hospital"). METHODS: A total of 129 inpatients admitted into our hospital from Jul. 2016 to Jul. 2017 were randomly divided into the conventional treatment group(61 cases) and the pharmacy service group(68 cases). Patients in the conventional treatment group received traditional medical care and inpatient medical services and hospital pharmacy evaluation, the patients were consulted by nurses at the time of discharge. Patients in the pharmacy service group received traditional medical care and inpatient medical services and full-course pharmacy services, the patients were instructed by clinical pharmacists at the time of discharge. Patients were interviewed by telephone or face-to-face before intervention and 30 d after discharge. The differences between two groups in understanding drug treatment, drug compliance, incidence of adverse drug events, and patient satisfaction were compared. RESULTS: The follow-up results after discharge showed that 92.6%(63/68) and 88.2%(60/68) of the patients in the pharmacy service group knew the use of discharged drugs and could basically describe drug usage and dosage, respectively, which were significantly higher than 77.0%(47/61) and 63.9%(39/61) of the conventional treatment group, with statistically significant differences(P<0.05). After the intervention, the proportion of patients with good medication compliance in the pharmacy service group was 91.2%(62/68), which was significantly higher than that of the conventional treatment group 72.1%(44/61), the difference was statistically significant(P<0.05), which showed that the drug compliance of patients in the pharmacy service group was significantly better than that of the conventional treatment group. CONCLUSIONS: The admission of pharmaceutical care to elderly patients during hospitalization is conducive to the continuous standardized drug treatment after discharge.
引文
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[14] 乐凯迪,梁雁,杨长青.临床药师对慢性肾脏病患者开展药物重整服务[J].中国新药杂志,2017,26(10):1213-1218.
[15] 卢金淼,李小霞,王栋栋,等.药物经济学在促进临床药学服务实践中的应用[J].中国医院用药评价与分析,2018,18(1):30-32.
[2] 周晨霞,戴烨,陈川,等.药学服务改善老年高血压患者用药依从性及疗效的效果研究[J].中国药业,2017,26(6):88-91.
[3] 吴巧稚,谈震,滕家良.临床药师开展药学服务现状及其效果评价[J].中国医院用药评价与分析,2018,18(2):246-247,250.
[4] 林秋晓,夏晨,刘秋琼,等.广州市部分社区老年人用药现状与药学服务需求调查分析[J].中国药房,2017,28(12):1591-1594.
[5] 杜成凤,钱妍,邓丹.医院临床药师药学服务能力及影响因素研究[J].中国药房,2017,28(17):2436-2440.
[6] 王艳春,徐若南,李倩倩,等.洛阳市中老年人群生存质量状况及药学服务需求调查[J].中国药事,2016,30(12):1256-1263.
[7] Tommelein E,Mehuys E,Van Hees T,et al.Effectiveness of phar-maceutical care for patients with chronic obstructive pulmonary disease(PHARMACOP):a randomized controlled trial[J].Br J Clin Pharmacol,2014,77(5):756-766.
[8] Cazarim Mde S,de Freitas O,Penaforte TR,et al.Impact assessment of pharmaceutical care in the management of hypertension and cor-onary risk factors after discharge[J].PLoS One,2016,11(6):e0155204.
[9] Xin C,Xia Z,Jiang C,et al.Effect of pharmaceutical care on medication adherence of patients newly prescribed insulin therapy:a randomized controlled study[J].Patient Prefer Adherence,2015,9:797-802.
[10] Stuurman-Bieze AG,Hiddink EG,van Boven JF,et al.Proactive pha-rmaceutical care interventions decrease patients' nonadherence to oste-oporosis medication[J].Osteoporos Int,2014,25(6):1807-1812.
[11] 沈晓英,季闽春,杨旭.对慢性阻塞性肺疾病急性加重住院患者的药学服务探讨[J].中国医院用药评价与分析,2017,17(1):108-110.
[12] 罗利琼,邝植雄,林文旋.药学服务对老年糖尿病患者血糖及用药依从性的影响分析[J].今日药学,2015,25(7):524-525,534.
[13] 常利杰,齐有胜,满蕊.药学服务提升社区医生对老年高血压患者合理用药效果评价[J].药品评价,2018,15(14):18-19,58.
[14] 乐凯迪,梁雁,杨长青.临床药师对慢性肾脏病患者开展药物重整服务[J].中国新药杂志,2017,26(10):1213-1218.
[15] 卢金淼,李小霞,王栋栋,等.药物经济学在促进临床药学服务实践中的应用[J].中国医院用药评价与分析,2018,18(1):30-32.