某院临床药师参与的多学科团队化血糖管理模式的建立及效果评价  

Establishment and effect evaluation of multidisciplinary team-based blood glucose management model with the participation of clinical pharmacists in a hospital

作　　者：丛琳 宋方 王达 卢熠[1] CONG Lin;SONG Fang;WANG Da;LU Yi(Department of Pharmacy,The Second Hospital of Shenyang Medical College,Shenyang 110002,China)

机构地区：[1]沈阳医学院附属第二医院药剂科,辽宁沈阳110002

出　　处：《沈阳医学院学报》2024年第4期389-392,448,共5页Journal of Shenyang Medical College

基　　金：2022年北京慢性病防治与健康教育研究会糖尿病诊疗与数据分析专项项目(No.MBZX0012022004)。

摘　　要：目的:探索某院临床药师参与的多学科团队化血糖管理模式的建立,评价该模式对住院患者的血糖管理效果。方法:构建某院临床药师参与的多学科团队化血糖管理模式,对住院患者进行血糖管理。纳入2022年7至12月内分泌科收治的2型糖尿病患者45例,随机分为常规治疗组和多学科团队化血糖管理组。比较2组患者接受治疗后第5天的空腹血糖、餐后2 h血糖,以及住院的时间、出院2个月内不良事件发生情况及用药依从性。结果:多学科团队化血糖管理组接受治疗后第5天的空腹血糖与对照组比较差异无统计学意义(P>0.05);餐后2 h血糖显著低于常规治疗组(P<0.05),且更接近目标水平。多学科团队化血糖管理组患者住院时长较常规治疗组明显缩短(P<0.05)。出院2个月内的用药不良反应发生情况比较差异无统计学意义(P>0.05),但用药依从性显著高于对照组(P<0.05)。结论:临床药师参与的多学科团队化血糖管理模式对于内分泌科住院患者的血糖治疗效果确切,可加速血糖达标,有效缩短患者住院时长,显著改善患者用药依从性。Objective:To establish a multidisciplinary team-based blood glucose management model with the participation of clinical pharmacists,and to evaluate the effect of this model on blood glucose management in hospitalized patients.Methods:A clinical pharmacists involved multidisciplinary team-based blood glucose management model was built to manage the blood glucose of inpatients.A total of 45 patients were employed and randomly divided into two groups,including common management group and multidisciplinary team-based management group.The fasting and 2-hour postprandial blood glucose levels at the fifth day after treatment,the length of hospital stay,adverse events,and medication compliance within 2 months after discharge between the two groups were compared.Results:The fasting blood glucose of the study group after 5 d treatment had no significant difference with the control group(P>0.05).The 2-hour postprandial blood glucose of the study group was significantly lower and closer to the target level than that of the control group(P<0.05).The length of hospital stay in the study group was significantly shorter than that in the control group,and the medication compliance within 2 months after discharge was significantly higher than that in the control group(P<0.05).There was no significant difference in adverse events between the two groups(P>0.05).Conclusion:The clinical pharmacists involved multidisciplinary team-based blood glucose management model has a definite effect on the blood glucose management of inpatients,including accelerating blood glucose attainment,effectively shortening the length of hospital stay,and significantly improving the medication compliance of inpatients.

关 键 词：临床药师 多学科团队化管理模式 血糖管理 住院患者 

分 类 号：R95[医药卫生—药学]