临床药师指导对老年慢性病患者合理用药及依从性的影响分析  

Analysis of the impact of clinical pharmacist guidance on rational medication and compliance in elderly patients with chronic diseases

作　　者：曹正 CAO Zheng(Guoyang County People's Hospital,Haozhou 233600,China)

机构地区：[1]涡阳县人民医院,233600

出　　处：《中国现代药物应用》2024年第6期160-163,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨老年慢性病患者采用临床药师指导对合理用药及依从性的影响。方法130例老年慢性病患者,采用电脑随机分组的方式分为对照组及试验组,每组65例。对照组患者实行常规慢性病管理,试验组患者在对照组基础上实行临床药师指导。比较两组患者的合理用药效能量表(SEAMS)、续配和服药依从性量表(ARMS)评分,不良反应发生情况,生活质量评分,再住院情况。结果两组患者出院后3个月的SEAMS评分较入院时升高、ARMS评分较入院时降低,且试验组患者出院后3个月的SEAMS评分(30.19±2.41)分比对照组的(26.25±2.01)分高,ARMS评分(13.94±0.94)分比对照组的(16.41±1.02)分低(P<0.05)。试验组用药期间的不良反应发生率6.15%比对照组的20.00%低(P<0.05)。两组患者出院后3个月的心理领域、生理领域、社会领域评分较入院时升高,且试验组患者出院后3个月的心理领域、生理领域、社会领域评分分别为(18.92±1.54)、(19.14±2.53)、(18.01±1.78)分,比对照组的(14.84±1.46)、(16.70±1.56)、(15.41±1.44)分高(P<0.05)。试验组出院后3个月内再住院率1.54%比对照组的10.77%低(χ^(2)=4.795,P=0.029<0.05)。结论对老年慢性病患者采用临床药师指导,可提高合理用药效能及用药依从性,预防不良反应发生,同时也能改善患者生活质量,降低再住院风险,值得推广应用。Objective To explore the impact of clinical pharmacist guidance on rational medication and compliance in elderly patients with chronic diseases.Methods 130 elderly patients with chronic diseases were randomly divided into a control group and an experimental groups by computer,with 65 cases in each group.The control group received routine management,and the experimental group received clinical pharmacist guidance based on the control group.The Self-efficacy for Appropriate Medication Use Scale(SEAMS),Adherence to Refills and Medications Scale(ARMS)scores,adverse reactions,quality of life score,and readmission status were compared between the two groups.Results At 3 months after discharge,patients in both groups had higher SEAMS score and lower ARMS score than than those at admission;the experimental group had higher SEAMS score of(30.19±2.41)points than(26.25±2.01)points in the control group,and lower ARMS score of(13.94±0.94)points than(16.41±1.02)points in the control group(P<0.05).The incidence of adverse reactions during medication in the experimental group was 6.15%,which was lower than 20.00%in the control group(P<0.05).At 3 months after discharge,the scores of psychological field,physiological field and social field of the two groups were higher than those at admission;the scores of psychological field,physiological field and social field of the experimental group were(18.92±1.54),(19.14±2.53)and(18.01±1.78)points,which were higher than(14.84±1.46),(16.70±1.56)and(15.41±1.44)points of the control group(P<0.05).The readmission rate within 3 months after discharge in the experimental group was 1.54%,which was lower than 10.77%in the control group(χ^(2)=4.795,P=0.029<0.05).Conclusion Using clinical pharmacist guidance for elderly patients with chronic diseases can improve rational medication efficacy and compliance,and prevent adverse reactions;At the same time,it can also improve the quality of life of patients and reduce the risk of readmission,which is worth promoting and applying.

关 键 词：老年慢性病 临床药师 合理用药 依从性 

分 类 号：R969.3[医药卫生—药理学]