实施药学指导教育对糖尿病患者临床用药的依从性影响研究  

Research on implementation of pharmaceutical education compliance guidance effect on the clinical medication in patients with diabetes mellitus

作　　者：周琳[1] 吴娇芬[1] 马俐丽[1] 张蓉晖[1] 

机构地区：[1]宁波市医疗中心李惠利医院药剂科,浙江宁波315040

出　　处：《中国现代医生》2015年第26期69-71,75,共4页China Modern Doctor

基　　金：浙江省药学会医院药学科研专项基金项目(2012ZYY30)

摘　　要：目的研究实施药学指导教育对糖尿病患者临床用药的依从性影响,为临床治疗糖尿病提供一定的参考。方法选取2012年2月~2013年5月我院入院治疗的170例糖尿病患者进行研究,将其随机分为两组,对照组仅给予糖尿病药物进行治疗,观察组在对照组的基础上,由临床药师给予全方位的药学指导,包括药物的选择、定期的健康教育讲座、电话跟踪和随访等。两组的治疗时间均为3个月。结果经过治疗,两组患者的空腹血糖（FBG）、糖化血红蛋白（HBA1C）和餐后2 h血糖（P2h BG）治疗前比较无显著差异,但治疗后观察组以上三个指标明显低于对照组,差异有统计学意义（P〈0.05）;观察组患者生存质量评分明显高于对照组,差异有统计学意义（P〈0.05）;观察组患者依从性好的比例为88.2%,明显高于对照组,差异有统计学意义（P〈0.05）;观察组并发症的发生率为5.9%,明显低于对照组的16.5%,差异有统计学意义（P〈0.05）。结论药学指导教育对糖尿病患者临床用药的依从性有很大的影响,包括血糖控制水平、并发症以及生活质量,值得推广药学指导。Objective To study the implementation of pharmaceutical education to diabetic patients with the clinical medication compliance and provide another choice for the treatment of diabetes. Methods From February 2012 to May 2013, 170 cases of diabetic patients were studied and randomly divided into two groups, the control group was only given the drug for diabetes, on the basis treatment of the control group,the observation group was given a full range of pharmaceutical guidance, including the choice of drug, regular health education seminars, and tracking and follow-up by telephone. All of patients between the two groups were treated for 3 months. Results After treatment, the treatment group had lower FBG、HBA1C and P2 h BG with significant difference（P〈0.05）. The quality of live of the observa tion group was significantly higher than that in control group, the difference was statistically significant（P 0.05）; The good compliance rate of observation group was 88.2%, which was significantly higher than the control group,the differences were statistically significant between the two groups（P〈0.05）. The complication rate of observation group was5.9%, which was significantly lower than the control group 16.5%, the difference between the two groups was statistically significant（P〈0.05）. Conclusion Pharmaceutical education for diabetic patients with the clinical medication compliance has great impact for patients, including the control of blood glucose,and complications, so it is worthy of the guidance effect for patients.

关 键 词：药学健康教育 糖尿病 依从性 指导 

分 类 号：R95[医药卫生—药学]