文献类型：期刊文献

中文题名：社区临床药师参与糖尿病管理的效果评价

英文题名：Effect evaluation of community clinical pharmacists participating in diabetes management

作者：杨琦[1];顾洪安[2];黄之亮[1];王晨[1];孙明[3]

机构：[1]上海市徐汇区凌云街道社区卫生服务中心药剂科,上海200237;[2]上海市徐汇区凌云街道社区卫生服务中心,上海200237;[3]华东理工大学校医院药房,上海200237

年份：2022

卷号：20

期号：20

起止页码：124

中文期刊名：当代医药论丛

基金：上海市徐汇区医学科研青年项目(SHXH201851)。

语种：中文

中文关键词：社区临床药师;糖尿病管理;血糖;血脂;血压;用药依从性

外文关键词：Community clinical pharmacists;Diabetes management;Blood sugar;Blood lipid;Blood pressure;Medication compliance

摘要：目的:分析并研究社区临床药师参与糖尿病(DM)管理的效果,为该管理模式的推广运用提供依据。方法:以2020年6月至2021年6月上海市徐汇区凌云街道社区卫生服务中心接诊的207例DM患者为研究对象。按照DM管理方法的不同将纳入对象分为对照组(n=102)和观察组(n=105)。给予对照组常规DM管理,观察组在对照组的基础上给予社区临床药师参与的DM管理。对两组的用药依从性、自我认知和疾病认知情况及各项生化指标进行对比分析。结果:干预后,观察组用药依从性的优良率显著高于对照组,其血糖监测、饮食调整、加强锻炼、缺少运动、高热量食物、吸烟的认知情况均显著优于对照组,组间比较差异有统计学意义(P<0.05)。干预后,观察组空腹血糖(FPG)、餐后2 h血糖(2hPG)、糖化血红蛋白(GHb)、低密度脂蛋白胆固醇(LDL-C)、收缩压(SBP)和舒张压(DBP)的水平均显著低于对照组,组间比较差异有统计学意义(P<0.05)。结论:社区临床药师参与DM管理能提高患者的用药依从性、自我认知及疾病认知水平,改善血糖、血压、血脂等指标。
Objective:To analyze and study the effect of community clinical pharmacists in the management of diabetes mellitus(DM),so as to provide a basis for the promotion and application of this management model.Methods:A total of 207 patients with DM who were admitted to Lingyun Community Health Service Center in Xuhui District of Shanghai from June 2020 to June 2021 were selected as the research objects.According to different DM management methods,the subjects were divided into control group(n=102)and observation group(n=105).The control group was given routine DM management,and the observation group was given DM management with community clinical pharmacist participation on the basis of the control group.The medication compliance,self-cognition,disease cognition and biochemical indexes of the two groups were compared and analyzed.Results:After intervention,the excellent and good rate of medication compliance in the observation group was significantly higher than that in the control group,and the cognition of blood glucose monitoring,diet adjustment,strengthening exercise,lack of exercise,high-calorie food and smoking were significantly better than those in the control group,and the differences between the groups were statistically significant(P<0.05).After intervention,the levels of fasting blood glucose(FPG),2h postprandial blood glucose(2hPG),glycosylated hemoglobin(GHb),low density lipoprotein cholesterol(LDL-C),systolic blood pressure(SBP)and diastolic blood pressure(DBP)in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The participation of community clinical pharmacists in DM management can improve patients’medication compliance,self-cognition and disease cognition,and improve blood glucose,blood pressure,blood lipid and other indicators.