个体化用药指导对2型糖尿病患者用药依从性的影响  

Effect of individualized medication guidance on medication compliance of patients with type Ⅱ diabetes mellitus

作　　者：许菲[1] 张士洋[1] 姚立敏[2] 邹玲梅[3] 罗红[3] 王静[4] 

机构地区：[1]安徽省蚌埠市第三人民医院药剂科,233000 [2]安徽省蚌埠市第三人民医院药事办,233000 [3]安徽省蚌埠市第三人民医院肾泌科,233000 [4]安徽省蚌埠市第三人民医院中西医结合科,233000

出　　处：《淮海医药》2016年第5期535-537,共3页Journal of Huaihai Medicine

摘　　要：目的:探讨个体化用药指导对2型糖尿病患者血糖控制、满意度及用药依从性的影响,为糖尿病患者的临床治疗提供参考。方法:按照随机数字表的分组方法将2014年5月-2015年5月门诊就诊的2型糖尿病患者86例分为观察组和对照组,每组43例。对照组患者接受常规干预,观察组实施个体化用药指导。于干预后3个月对2组患者空腹血糖、餐后2 h血糖、糖化血红蛋白及治疗中不良反应发生率、用药依从性及满意度进行比较。结果:干预后,观察组患者空腹血糖、餐后2 h血糖及糖化血红蛋白水平较对照组改善更明显,差异有统计学意义(P<0.05);观察组医疗服务、药学服务满意度及用药依从性均高于对照组,差异有统计学意义(P<0.05)。治疗期间,观察组不良反应发生率低于对照组(P<0.05)。结论:个体化用药指导可改善Ⅱ型糖尿病患者血糖水平,提高患者的满意度及用药依从性,降低不良反应的发生率。Objective： To explore the effect of individualized medication guidance on medication compliance of patients with type Ⅱ diabetes mellitus so as to improve the clinical treatment of patients with diabetes. Methods： Based on the random number table grouping method,86 patients with type Ⅱ diabetes mellitus in our hospital from May 2014 to May 2015 were divided into an observation group and a eontrol group ,43 eases in each. Patients in the control group received routine treatment, and those in the observation group were treated with individual medication guidance. After 3 months of intervention, the fasting blood glueose,2h glucose, glyeosylated hemoglobin and adverse reaction rate, drug eomplianee and satisfaction between the two groups were compared. Results：After intervention, the fasting glucose ,2h blood glucose and glyeosylated hemoglobin levels in the observation group were superior to those in the control group （ P 〈 0.05）. The medical service, service satisfaction of pharmacy and medication eomplianee in the observation group were better than those of the control group （ P 〈 0.05 ）. During the treatment, the incidence of adverse reaction of the observation group was lower than that in the eontrol group （ P 〈 0.05 ）. Conclusion： Individualized medication guidance can improve blood glucose levels in patients with type Ⅱ diabetes, improve patients＇ satisfaction and medication compliance, and reduce the incidence of adverse reactions, which is worth further study.

关 键 词：糖尿病 2型 用药指导 满意度 依从性 

分 类 号：R587.1[医药卫生—内分泌]