糖尿病患者降糖药物的用药情况及合理用药指导分析  

Analysis of hypoglycemic drug use and rational drug use guidance in diabetic patients

作　　者：江慧 JIANG Hui(Suqian First People's Hospital,Suqian 223800,China)

机构地区：[1]宿迁市第一人民医院,223800

出　　处：《中国实用医药》2023年第22期141-144,共4页China Practical Medicine

摘　　要：目的研究在糖尿病患者中强化合理用药指导工作的价值。方法120例糖尿病患者,采用随机分配法分为对照组和观察组,每组60例。对照组接受常规干预,观察组在常规干预的同时强化合理用药指导。对比两组患者用药依从性、用药合理性、药物知识掌握程度评分、血糖指标、对护理工作满意情况、并发症发生情况、生活质量评分。结果观察组患者用药依从率100.00%、用药合理率100.00%、药物知识掌握程度评分(91.64±9.94)分明显高于对照组的86.67%、88.33%、(84.39±7.84)分,差异具有统计学意义(P<0.05)。观察组患者空腹血糖、餐后2 h血糖、糖化血红蛋白分别为(5.44±0.19)mmol/L、(7.76±0.87)mmol/L、(5.37±0.41)%,均低于对照组的(7.78±0.99)mmol/L、(9.71±1.97)mmol/L、(7.90±1.88)%,差异具有统计学意义(P<0.05)。观察组患者总满意率为98.33%(59/60),高于对照组的88.33%(53/60),差异具有统计学意义(P<0.05)。观察组患者并发症发生率为3.33%(2/60),低于对照组的13.33%(8/60),差异具有统计学意义(P<0.05)。观察组患者躯体功能评分(4.58±1.02)分、心理状态评分(4.19±1.45)分、社会功能评分(4.16±1.10)分、物质生活状态评分(4.61±1.30)分、总体生活质量评分(4.59±1.16)分均高于对照组的(2.16±0.82)、(2.64±0.57)、(2.70±0.61)、(2.77±0.60)、(2.22±0.41)分,差异具有统计学意义(P<0.05)。结论在糖尿病患者中强化合理用药指导可提升患者对用药知识掌握程度、用药依从性与合理性,并对患者血糖指标、生活质量产生积极影响,提高患者满意度。Objective To study the value of hypoglycemic drug use and rational drug use guidance in diabetic patients.Methods A total of 120 diabetic patients were randomly assigned into a control group and an observation group,with 60 cases in each group.The control group received routine intervention,and the observation group strengthened rational drug use guidance on the basis of the control group.Both groups were compared in terms of medication compliance,medication rationality,score of mastery of drug use knowledge,blood glucose indicators,satisfaction with nursing work,occurrence of complications and quality of life score.Results In the observation group,the medication compliance rate was 100.00%,the medication rationality rate was 100.00%,and the score of mastery of drug use knowledge was(91.64±9.94)points,which were significantly higher than those of 86.67%,88.33%,and(84.39±7.84)points in the control group,and the differences were statistically significant(P<0.05).The fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the observation group were(5.44±0.19)mmol/L,(7.76±0.87)mmol/L and(5.37±0.41)%,which were lower than those of(7.78±0.99)mmol/L,(9.71±1.97)mmol/L and(7.90±1.88)%in the control group,and the differences were statistically significant(P<0.05).The total satisfaction rate of the observation group was 98.33%(59/60),which was higher than that of 88.33%(53/60)of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 3.33%(2/60),which was lower than that of 13.33%(8/60)in the control group,and the difference was statistically significant(P<0.05).In the observation group,the physical function score was(4.58±1.02)points,the psychological status score was(4.19±1.45)points,the social function score was(4.16±1.10)points,the material life status score was(4.61±1.30)points and the overall quality of life score was(4.59±1.16)points,which were all higher than those of(2.16±0.82),(2.64±0.57),(2.70

关 键 词：糖尿病 降糖药物 合理用药指导 价值 

分 类 号：R587.1[医药卫生—内分泌]