临床药师干预对脑梗死患者用药依从性的影响  

Effect of clinical pharmacist intervention on compliance of patients with cerebral infarction

作　　者：邵腾飞[1] 葛卫红[1] SHAO Tengfei GE Weihong(Department of Pharmacy, Nanjing Drum Tower Hospital Affiliated to Medical College of Nanjing University, Nanjing 210008, China)

机构地区：[1]南京大学医学院附属鼓楼医院药学部,江苏南京210008

出　　处：《药学实践杂志》2017年第2期178-181,共4页Journal of Pharmaceutical Practice

基　　金：中央高校基本科研业务费专项资金资助(021414380197)

摘　　要：目的探讨脑梗死患者用药依从性差的相关因素,研究药师用药教育对患者依从性的影响。方法选取鼓楼医院2016年1-6月住院的128名因脑梗死复发住院的患者,对患者入院前用药类别和用药方法进行调查。在对患者进行用药教育后第3天和出院后1个月,对患者依从性进行随访。结果入院前仅有36.7%的患者坚持每日服药,并对用药方法掌握明显不足。较低的依从性与患者上次住院期间未接受用药教育有关。药师对患者进行用药教育后,患者的依从性显著提升。结论药师作为临床诊治的重要一环,进行用药教育对提高患者依从性、减少脑梗死的复发具有重要意义。Objective To explore the factors resulting in poor medication compliance in patients with cerebral infarction and study the effect of medication education by pharmacist on the compliance of patients. Methods 128 patients with cerebral infarction recurrence from January to June of 2016 were selected. Patient＇s medication history and knowledge were evaluated. The compliance was compared before medication education, 3 days and 30 days after medication education. Results Only 36.7% of the patients took drugs every day before hospitalization. The patient＇s medication knowledge was limited. The poor compliance was related to the absence of medication education. The compliance was improved significantly after medication education. Conclusion Pharmacists play an important role in patient＇s care. Pharmacists should take responsibility in medication education to improve medication compliance and reduce the recurrence of cerebral infarction.

关 键 词：脑梗死 用药教育 依从性 

分 类 号：R969[医药卫生—药理学]