药学服务联合个性化管理在糖尿病慢病管理中的应用效果  

Application effects of pharmaceutical care combined with individuation management in the management of chronic diabetic diseases

作　　者：郭琼杰[1] 史文宗[2] 安迪 王克华 王珊珊[3] 杨柳[4] GUO Qiongjie;SHI Wenzong;AN Di(Department of Pharmacy,The First Hospital of Qinhuangdao City,Hebei,Qinhuangdao 066000,China;不详)

机构地区：[1]河北省秦皇岛市第一医院药学部,066000 [2]河北省秦皇岛市第一医院质量管理处医疗信息统计室,066000 [3]河北省秦皇岛市第一医院人力资源部,066000 [4]河北省秦皇岛市第一医院心理科,066000

出　　处：《河北医药》2022年第17期2603-2606,共4页Hebei Medical Journal

基　　金：河北省医学科学研究课题计划(编号:20191389);秦皇岛市科学技术研究与发展计划项目(编号:202004A108)。

摘　　要：目的探讨药学服务联合个性化管理措施在糖尿病慢病管理中的应用效果,包括对患者服药依从性、血糖血脂控制、不良反应或并发症以及生活质量的影响。方法选取2021年7~9月收治的糖尿病患者92例,依循双盲随机法分为对照组和观察组,每组46例。对照组采用单纯个性化管理,观察组采用药学服务联合个性化管理。对比2组患者的服药依从率、血糖值、血脂达标率、低血糖及其他并发症发生率以及患者的社会功能、活力、心理功能与身体疼痛评分。结果干预前各指标2组间差异均无统计学意义(P>0.05)。联合药学服务干预后观察组的服药依从率为93.48%高于对照组的78.26%,差异有统计学意义(P<0.05);观察组空腹血糖、餐后2 h血糖均低于对照组降低,差异有统计学意义(P<0.05)。观察组三酰甘油、总胆固醇、低密度脂蛋白胆固醇达标率均高于对照组,差异有统计学意义(P<0.05)。观察组患者低血糖发生率(4.35%)及其他并发症发生率(6.52%)均低于对照组患者(17.39%、21.74%),差异有统计学意义(P<0.05)。观察组糖尿病患者的社会功能、活力、心理功能与身体疼痛等SF-36评分高于对照组(P<0.05)。结论药学服务联合个性化管理方式可有效改善糖尿病患者血糖血脂控制水平,提高患者服药依从性和生活质量,降低不良反应或其他并发症,对糖尿病慢病管理具有重要意义。Objective To investigate the application effects of pharmaceutical care combined with individuation management in the management of chronic diabetic diseases,including of the medication compliance of patients,blood glucose control,adverse reactions,complications and life quality.Methods A total of 92 patients with diabetes mellitus who were treated in our hospital were enrolled in the study,who were randomly divided into two groups,with 46 cases in each group.The patients in control group were treated by simple individuation management personalized management,however,those in observation group were treated by pharmaceutical care combined with individuation management.The medication compliance rate,serum lipid levels,blood glucose value,hypoglycemia and the incidence of complication,and the social function,vitality,psychological function and body pain score were observed and compared between the two groups.Results Before intervention,there were no significant differences in above indxes between the two groups(P>0.05).After intervention,the medication compliance rate in observation group was 93.48%,which was significantly higher than that(78.26%)in control group(P<0.05).And the levels of fasting blood glucose and 2-hour postprandial blood glucose in observation group were significantly lower than those in control group(P<0.05),however,the target rate of triglyceride,and the levels of total cholesterol and low-density lipoprotein in observation group were significantly higher than those in control group(P<0.05).In addition the incidence rates of hypoglycemia and the other complications in observation group were significantly lower than those in control group(P<0.05),and the SF-36 scores of social function,vitality,psychological function and physical pain in observation group were significantly higher than those in control group(P<0.05).Conclusion The pharmaceutical care combined with individuation management can effectively improve the blood glucose and lipid control level of patients with diabetes,which can improve

关 键 词：药学服务 个性化管理 糖尿病 慢病管理 治疗结果 

分 类 号：R93[医药卫生—生药学]