药学干预对2型糖尿病并高血压患者血糖及血压控制的影响  

Effect of Pharmaceutical Intervention on Blood Glucose and Blood Pressure Control in Type 2 Diabetes Patients with Hypertension

作　　者：吴万年 WU Wannian(Nanjing County Traditional Chinese Medicine Hospital in Zhangzhou City,Zhangzhou 363600,China)

机构地区：[1]漳州市南靖县中医院,漳州363600

出　　处：《中国医药指南》2024年第4期68-72,共5页Guide of China Medicine

摘　　要：目的 研究2型糖尿病(T2DM)并高血压患者应用药学干预对血糖及血压控制的影响。方法 采用随机数字表法将我院2020年1月至2023年6月收治的60例T2DM并高血压患者分为两组(各30例),对照组采用常规干预,研究组采用常规干预与药学干预,比较两组血糖水平、血压水平、血糖血压达标情况、不合理用药情况、自我管理能力、健康行为、健康状况及药学服务满意度。结果 干预后,研究组空腹血糖、餐后2 h血糖、舒张压、收缩压分别为(6.02±1.24)mmol/L、(7.63±1.37)mmol/L、(75.79±4.50)mm Hg、(122.97±9.56)mm Hg,低于对照组的(6.71±1.05)mmol/L、(8.78±1.55)mmol/L、(82.06±4.98)mm Hg、(132.49±9.91)mmHg(P<0.05);研究组血糖、血压达标率分别为93.33%、93.33%,高于对照组的73.33%、70.00%(P<0.05);研究组不合理用药发生率为6.67%,低于对照组的26.67%(P<0.05);研究组病情监测、规律运动、合理饮食、遵医服药依从率分别为86.67%、90.00%、90.00%、93.33%,高于对照组的63.33%、63.33%、66.67%、73.33%(P<0.05);研究组健康促进生活方式量表评分、简明健康调查量表评分均高于对照组(P<0.05);研究组药学服务满意率为96.67%,低于对照组的73.33%(P<0.05)。结论 药学干预能够有效控制患者血糖及血压水平,减少不合理用药发生,改善患者自我管理能力及健康状况。Objective To study the effect of pharmaceutical intervention on blood glucose and blood pressure control in patients with type 2 diabetes mellitus(T2DM)and hypertension.Methods A random number table was used to divide 60 patients with T2DM and hypertension admitted to our hospital from January 2020 to June 2023 into two groups(30 cases each).The control group received routine intervention,while the study group received routine intervention and pharmaceutical intervention.Blood glucose levels,blood pressure levels,blood glucose and blood pressure compliance,unreasonable medication use,self-management ability,health behavior,health status,and pharmaceutical service satisfaction were compared between the two groups.Results After intervention,the fasting blood glucose,2-hour postprandial blood glucose,diastolic blood pressure,and systolic blood pressure in the study group were(6.02±1.24)mmol/L,(7.63±1.37)mmol/L,(75.79±4.50)mmHg,and(122.97±9.56)mmHg,respectively,lower than those in the control group(6.71±1.05)mmol/L,(8.78±1.55)mmol/L,(82.06±4.98)mmHg,and(132.49±9.91)mmHg(P<0.05);the blood glucose and blood pressure compliance rates in the study group were 93.33%and 93.33%,respectively,higher than the control group's 73.33%and 70.00%(P<0.05);The incidence of irrational drug use in the research group was 6.67%,lower than the control group's 26.67%(P<0.05);The compliance rates of disease monitoring,regular exercise,reasonable diet,and medication adherence in the study group were 86.67%,90.00%,90.00%,and 93.33%,respectively,which were higher than the control group's 63.33%,63.33%,66.67%,and 73.33%(P<0.05);The scores of the Health Promotion Lifestyle Scale and the Concise Health Survey Scale in the study group were higher than those in the control group(P<0.05);The satisfaction rate of pharmaceutical services in the research group was 96.67%,lower than the control group's 73.33%(P<0.05).Conclusions Pharmaceutical intervention can effectively control patient blood sugar and blood pressure levels,reduce the occurrenc

关 键 词：2型糖尿病 高血压 药学干预 

分 类 号：R587.1[医药卫生—内分泌] R544.1[医药卫生—内科学]