临床药师对门诊2型糖尿病患者低血糖风险的评估和管理  

Evaluation and management of Hypoglycemic Risk for Outpatient with Diabetes

作　　者：李桃园[1] 张楠[1] 杨啸白[1] 陆红柳[1] 张娜[1] 夏文斌[1] 

机构地区：[1]北京市垂杨柳医院药学中心,北京100022

出　　处：《药品评价》2014年第22期14-17,共4页Drug Evaluation

基　　金："临床药师对门诊2型糖尿病患者低血糖风险的评估和管理"。北京药学会临床药学研究项目

摘　　要：目的:提高糖尿病患者的安全用药意识和自我管理疾病能力,降低低血糖风险,探索临床药师参与慢病管理的方法。方法:于我院门诊就诊的2型糖尿病患者114例自愿入组,填写低血糖风险调查问卷,实施低血糖全程教育,评估干预前后入组患者的低血糖认知、知识水平和自我管理疾病的能力。结果:低血糖风险评估提示高龄、糖尿病病程较短、使用胰岛素促泌剂及使用β受体阻滞剂的患者,是临床药师实施低血糖管理的重点目标人群;临床药师实施防治低血糖全程教育后,患者的低血糖认知水平和自我管理能力有显著提高,与纳入管理前相比差异有统计学意义。结论:临床药师参与门诊糖尿病患者的慢病管理,依据低血糖风险高低实施分层次的低血糖全程教育,是控制低血糖风险的有效途径。Objective：To improve the safetyof medication and self management, reduce the risk of hypoglycemia, and explore ways to participate in chronic disease management by clinical pharmacist. Methods：114 type 2 diabetes patients were collected in theoutpatient department of our hospital, questionnaire survey and hypoglycemia-related pharmacy services which were related to theknowledge of hypoglycemia and self-management skillsof patients before and after administration,were analyzed. Results： The patients with shorter duration of diabetes,advanced age, insulin secretagogues or β-bolckertreatment are the target ofpopulation of hypoglycemiamanagement. After receiving hypoglycemia-related pharmacy services, the knowledge of hypoglycemia and self-management skillsof patients has greatly improved. Conclusion： Providinghypoglycemiamanagement for type 2 diabetes patients in outpatient, according to the level of risk and carrying out appropriate management, is an appropriate way to participate in chronic disease management by clinical pharmacist.

关 键 词：2型糖尿病 低血糖风险 临床药师 评估 管理 

分 类 号：R587.1[医药卫生—内分泌]