临床药师参与医药护联合门诊对腹膜透析患者的干预效果  

Intervention effect of clinical pharmacists participating in joint outpatient on peritoneal dialysis patients

作　　者：徐丹[1] 冯霞[1] 陈丽金[1] 周娟[1] 王若伦[1] XU Dan;FENG Xia;CHENG Li-jin;ZHOU Juan;WANG Ruo-lun(The Second Affiliated Hospital of Guangzhou Medical University,Guangdong Guangzhou 510260)

机构地区：[1]广州医科大学附属第二医院,广东广州510260

出　　处：《中国医院药学杂志》2020年第10期1165-1169,共5页Chinese Journal of Hospital Pharmacy

基　　金：广东省医院药学研究基金(编号:2018LR05)。

摘　　要：目的:探讨临床药师参与医药护联合门诊对腹膜透析(PD)患者的干预效果。方法:选择2018年8月到2019年8月在广州医科大学附属第二医院进行连续复诊的PD患者94例,按照随机数字的方法将患者分为对照组(n=47)和观察组(n=47),对照组使用常规门诊工作流程,观察组使用临床药师参与医药护联合门诊模式,对比两组干预前(T1)、干预后4个月(T2)、6个月(T3)、1年(T4)的用药依从性、对药物认知和血压控制情况。结果:在干预期间,临床药师总共接诊观察组患者515人次,提供药物咨询509次,其中咨询血压的控制占29.47%,居于最高位。观察组患者的用药依从性评分和药物认知评分均高于对照组(P<0.05),观察组患者的收缩压、舒张压均明显低于对照组(P<0.05),血压达标率显著高于对照组(P<0.05)。结论:临床药师参与PD患者的医药护联合门诊,提高了患者用药依从性和对药物的认知水平,有助于血压的控制。OBJECTIVE To explore the effect of clinical pharmacists participating in joint outpatient on peritoneal dialysis(PD)patients.METHODS 94 patients with PD who underwent continuous follow-up at the Second Affiliated Hospital of Guangzhou Medical University from August 2018 to August 2019 were selected.Patients were divided into control group(n=47)and observation group(n=47)according to random number method.The routine outpatient workflow was implemented in the control group.The mode of clinical pharmacists participating in joint outpatient was used in the observation group.The medication compliance,drug cognition and blood pressure control before intervention(T1),4 months(T2),6 months(T3)and 1 year(T4)after intervention were compared between the two groups.RESULTS During the intervention period,the clinical pharmacists received a total of 515 patients in the observation group,providing a total of 509 drug consultations to the observation group,and the control of blood pressure accounted for 29.47%,which rankd the highest.The medication adherence score and drug cognitive score of the observation group were higher than those of the control group(P<0.05).The systolic blood pressure and diastolic blood pressure of the observation group were lower than those of the control group(P<0.05).The blood pressure compliance rate of the observation group was higher than that of the control group(P<0.05).CONCLUSION Clinical pharmacists’participation in joint outpatient could improve patient compliance,patient awareness of drugs and help blood pressure control.

关 键 词：临床药师 联合门诊 腹膜透析 

分 类 号：R952[医药卫生—药学]