不同用药教育时间对高血压病患者用药依从性的影响
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摘要
目的:探讨不同用药教育时间对高血压病患者用药依从性的影响效果。方法:选取2015年1月至2018年4月赣州市立医院收治的高血压病患者208例,随机分为对照组52例、观察组156例;临床药师通过认知能力评估表对观察组患者进行认知能力评分,根据评分结果将其分为观察1组、观察2组和观察3组,每组52例。对照组患者不进行用药教育;临床药师对观察组患者进行用药教育,记录用药教育所用时间。通过回访,统计四组患者用药依从情况、血压达标率,分析观察组中不同认知能力患者达到用药依从所需时间。结果:对照组患者合计用药教育为0 min,观察1组为(36.9±2.4) min,观察2组为(27.9±1.8) min,观察3组为(17.7±1.7) min,各组间的差异均有统计学意义(P<0.05)。出院后2周、1个月、3个月及6个月,观察1、2、3组患者用药依从性评分的差异均无统计学意义(P>0.05),但均明显高于对照组,差异均有统计学意义(P<0.05);出院后1个月、3个月及6个月,观察1、2、3组坚持用药患者所占比例明显高于对照组,差异均有统计学意义(P<0.05)。结论:根据患者的个体情况给予不同用药教育时间,能够有效提高患者用药依从性,提高工作效率。
OBJECTIVE: To probe into the effects of different medication education time on medication compliance of patients with hypertension. METHODS: Totally 208 patients with hypertension admitted into Ganzhou Municipal Hospital from Jan. 2015 to Apr. 2018 were extracted to be randomly divided into the control group(n=52) and the observation group(n=156). The clinical pharmacists scored the cognitive ability of patients in the observation group through the cognitive ability assessment form, and divided the patients into the observation group 1, the observation group 2 and the observation group 3 according to the scoring results, with 52 cases in each group. Patients in the control group did not receive medication education; the clinical pharmacists conducted medication education for the observation group and recorded the time spent on medication education. Through follow-up, the compliance status and blood pressure compliance rate of patients in four groups were statistically analyzed, and the time required for patients with different cognitive abilities in the observation group to achieve compliance was analyzed. RESULTS: The patients in the control group received drug education for 0 min in total, the observation group 1 received(36.9±2.4) min, the observation group 2 received(27.9±1.8) min and the observation group 3 received(17.7±1.7) min, the differences between the groups were statistically significant(P<0.05). At 2 weeks, 1 month, 3 months and 6 months after discharge, there were no statistically significant differences in the scores of drug compliance among the observation group 1, 2 and 3(P>0.05), but the differences were significantly higher than those in the control group(P<0.05). 1 month, 3 months and 6 months after discharge,the proportion of patients with medication persistence of the observation group 1, 2 and 3 were significantly higher than those in the control group,with statistically significant differences(P<0.05).CONCLUSIONS: According to the individual condition of the patient, different medication education time can effectively improve the patient's medication compliance and improve the work efficiency.
OBJECTIVE: To probe into the effects of different medication education time on medication compliance of patients with hypertension. METHODS: Totally 208 patients with hypertension admitted into Ganzhou Municipal Hospital from Jan. 2015 to Apr. 2018 were extracted to be randomly divided into the control group(n=52) and the observation group(n=156). The clinical pharmacists scored the cognitive ability of patients in the observation group through the cognitive ability assessment form, and divided the patients into the observation group 1, the observation group 2 and the observation group 3 according to the scoring results, with 52 cases in each group. Patients in the control group did not receive medication education; the clinical pharmacists conducted medication education for the observation group and recorded the time spent on medication education. Through follow-up, the compliance status and blood pressure compliance rate of patients in four groups were statistically analyzed, and the time required for patients with different cognitive abilities in the observation group to achieve compliance was analyzed. RESULTS: The patients in the control group received drug education for 0 min in total, the observation group 1 received(36.9±2.4) min, the observation group 2 received(27.9±1.8) min and the observation group 3 received(17.7±1.7) min, the differences between the groups were statistically significant(P<0.05). At 2 weeks, 1 month, 3 months and 6 months after discharge, there were no statistically significant differences in the scores of drug compliance among the observation group 1, 2 and 3(P>0.05), but the differences were significantly higher than those in the control group(P<0.05). 1 month, 3 months and 6 months after discharge,the proportion of patients with medication persistence of the observation group 1, 2 and 3 were significantly higher than those in the control group,with statistically significant differences(P<0.05).CONCLUSIONS: According to the individual condition of the patient, different medication education time can effectively improve the patient's medication compliance and improve the work efficiency.
引文
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[13] 曹敏娟,胡艳,王培培,等.抑郁症住院患者用药教育模式的建立[J].中国医院药学杂志,2017,37(17):1760-1762.
[14] 黎海凌.社区老年2型糖尿病患者实施用药教育及其效果评价[D].广州:广东药科大学,2016.
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[2] 张魏丽,刘志坤,刘殿武,等.高龄人群慢性病患病状况及对其日常生活能力的影响[J].中国老年学杂志,2007,27(9):884-886.
[3] 林红,张拓红,杨辉,等.北京市895名老年人慢性病现状及其影响因素分析[J].中国慢性病预防与控制,2002,10(6):270-272.
[4] 杨洪华,师亚,唐懿芳,等.高血压患者服药依从性的影响因素[J].中华高血压杂志,2015,23(10):989-991.
[5] Blackburn DF,Dobson RT,Blackburn JL,et al.Cardiovascular mor-bidity associated with nonadhererce to statin therapy[J].Pha-rmacotherapy,2005,25(8):1035-1043.
[6] Abughosh SM,Kogut SJ,Andrade SE,et al.Persistence with lipid-lowering therapy:influence of the type of lipid-lowering agent and drug benefit plan option in elderly patients[J].J Manag Care Pharm,2004,10(5):404-411.
[7] 莫兴全.门诊高血压患者治疗依从性调查分析[J].名医,2018(10):37.
[8] 赵鑫鑫,王宇鸽,孙丹.药师对高血压慢病管理患者开展药学干预的效果[J].世界最新医学信息文摘,2018,18(86):164.
[9] 崔爱梅.高血压患者药学服务干预对疗效及用药依从性的影响[J].世界最新医学信息文摘,2018,18(85):71,73.
[10] 魏雪莲.药师干预对出院高血压患者口服降压药依从性的影响[J].中国冶金工业医学杂志,2018,35(5):588-589.
[11] 黄睿祺.加强药学干预对高血压患者血压控制及用药依从性的影响探讨[J].中国现代药物应用,2018,12(19):134-135.
[12] 周洋,彭文星,林阳,等.出院患者床旁用药教育模式的研究与实践[J].临床药物治疗杂志,2017,15(10):24-26.
[13] 曹敏娟,胡艳,王培培,等.抑郁症住院患者用药教育模式的建立[J].中国医院药学杂志,2017,37(17):1760-1762.
[14] 黎海凌.社区老年2型糖尿病患者实施用药教育及其效果评价[D].广州:广东药科大学,2016.
[15] 裴金燕.糖尿病患者健康用药教育的作用分析[J].中国继续医学教育,2015,7(12):213-214.