药物治疗管理对老年2型糖尿病并周围神经炎患者效果观察  

Effect observation of medication therapy management on elderly patients with type 2 diabetes and peripheralneuritis

作　　者：刘华清 林崇森 邓海灵 郭贤旋 李惠芳 李慧珊 刘睿 顾卫[1] LIU Huaqing;LIN Chongsen;DENG Hailing;GUO Xianxuan;LI Huifang;LI Huishan;LIU Rui;GU Wei(Department of Pharmacy,Huizhou Hospital of Guangzhou University of Traditional Chinese Medicine/Huizhou Hospital of Traditional Chinese Medicine,Huizhou 516001,Guangdong,China)

机构地区：[1]广州中医药大学惠州医院(惠州市中医医院)药学部,惠州516001

出　　处：《医学研究与战创伤救治》2023年第12期1305-1308,共4页Journal of Medical Research & Combat Trauma Care

基　　金：惠州市医疗卫生类科技计划项目(2019Y151)。

摘　　要：目的 探讨药物治疗管理(MTM)中临床药学服务对老年2型糖尿病并周围神经炎患者用药有效性、依从性、安全性和经济性的影响。方法 选取2019年5月至2020年4月我院内分泌科收治诊断为老年2型糖尿病并周围神经炎的患者120例,按照随机数字表方法将其分为参照组(n=60)、干预组(n=60)。参照组为常规护理干预,干预组则在参照组的基础上使用临床药学服务干预。结果 干预组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均明显低于参照组(P<0.05);干预组随访后用药依从性管理评分为[(5.96±0.56)分]明显优于参照组[(5.15±0.22)分],差异有统计学意义(P<0.05);干预组不良反应发生率明显低于参照组(P<0.05),药品费用亦明显降低(P<0.05)。结论 通过临床药师在MTM中提供临床药学服务干预后,老年2型糖尿病并周围神经炎患者在有效性、依从性、安全性、经济性等方面产生有益效果,提高了药物疗效,提高了患者依从性,减少了药物不良反应或事件,降低了药物治疗费用。Objective To explore the effects of clinical pharmaceutical care in medication therapy management(MTM)on effectiveness,compliance,safety and economy in elderly patients with type 2 diabetes mellitus and peripheral neuritis.Methods A total of 120 elderly patients diagnosed with type 2 diabetes mellitus and peripheral neuritis admitted to the Endocrinology Department of our hospital from May 2019 to April 2020 were selected,and they were divided into control group(n=60)and intervention group(n=60)according to random number table method.The control group used routine nursing intervention,and the intervention group used clinical pharmaceutical care intervention on the basis of the control group.Results The levels of fasting blood glucose,2h postprandial blood glucose and HBA1c in the intervention group were significantly lower than those in the control group(P<0.05).After follow-up,the management score of medication compliance in the intervention group[(5.96±0.56)points]was significantly better than that in the control group[(5.15±0.22)points],and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the intervention group was significantly lower than that in the control group(P<0.05),and the drug cost was also significantly reduced(P<0.05).Conclusion After clinical pharmaceutical care intervention provided by clinical pharmacists in MTM,the elderly patients with type 2 diabetes mellitus and peripheral neuritis have beneficial effects in terms of effectiveness,compliance,safety and economy,improving drug efficacy,improving patient compliance,reducing adverse drug reactions or events,and reducing drug treatment costs.

关 键 词：药物治疗管理 临床药学服务 临床药师 2型糖尿病并周围神经炎 效果观察 

分 类 号：R587.1[医药卫生—内分泌] R954[医药卫生—内科学]