药房药师参与社区糖尿病慢病管理的价值分析  

Analysis of the value of pharmacists'participation in the management of chronic diabetes in the community

作　　者：陈银 Chen Yin(Qixia Health Service Center,Qixia District,Nanjing,Jiangsu 210033,China)

机构地区：[1]南京市栖霞区栖霞卫生服务中心,江苏南京210033

出　　处：《医学前沿》2024年第3期234-237,共4页Frontiers of Medicine

摘　　要：目的:本研究的目的是指在分析药房药师参与社区糖尿病慢病管理的价值。方法:本次临床研究随机纳入了86名符合此次实验纳入标准的社区糖尿病患者进行临床研究。本研究开始于2022年2月份,本研究结束于2024年2月份。在研究期间,为保证本次临床实验过程的科学严谨性以及实验结论的准确可靠性,在临床研究开始前,将参与本次实验的86名社区糖尿病患者随机分为人数相等、一般资料比较无明显差异性的观察组以及对照组进行临床实验。研究中,对照组参与研究的社区糖尿病患者采用普通管理方法,观察组参与本次临床研究的社区糖尿病患者采用药房药师参与管理干预。本研究通过比较两组社区糖尿病患者自我认知能力、疾病认知能力以及身体各项指标,通过比较结果的差异性判断药房药师参与社区糖尿病慢病管理的价值。结果:参与研究的观察组43名社区糖尿病患者经过干预后患者的自我认知:用药依从性(53.49%)、血糖监测(60.47%)、饮食调整(51.16%)、加强锻炼(55.81%);疾病认知:遗传因素(48.84%)、肥胖(88.37%)、缺少运动(83.72%)、高热量食物(81.40%)、吸烟(67.44%)、肾病(58.14%)、视网膜病变(76.74%)、足坏死(79.07%)、神经病变(67.44%)比对照组参与研究的社区糖尿病患者更高,P<0.05,差异具有统计学意义。观察组的社区糖尿病患者身体质量指数、空腹血糖、餐后2小时血糖、糖化血红蛋白、甘油三酯、血清总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、收缩压、舒张压都比对照组患者更好。结论:药房药师参与社区糖尿病慢病管理具有更好的管理效果,能够提升社区糖尿病患者的自我管理能力,帮助患者更好地控制疾病,值得进行推广。The purpose of this study is to analyze the value of pharmacists'participation in the management of chronic diabetes in the community.Methods:This clinical study randomly included 86 community diabetes patients who met the inclusion criteria of this experiment.This study began in February 2022 and ended in February 2024.During the study period,in order to ensure the scientific preciseness of the clinical experiment process and the accuracy and reliability of the experimental conclusions,86 community diabetes patients who participated in the experiment were randomly divided into an observation group and a control group with the same number of people and no obvious difference in the comparison of general information before the start of the clinical study.In the study,the community diabetes patients in the control group participated in the study used the general management method,and the community diabetes patients in the observation group participated in the clinical study used the pharmacy pharmacist to participate in the management intervention.This study compared the self cognition ability,disease cognition ability and various physical indicators of the two groups of community diabetes patients,and judged the value of pharmacy pharmacists'participation in community diabetes chronic disease management through the difference of the comparison results.Results:The self cognition of 43 community diabetes patients in the observation group after intervention:drug compliance(53.49%),blood glucose monitoring(60.47%),diet adjustment(51.16%),and intensive exercise(55.81%);Disease cognition:genetic factors(48.84%),obesity(88.37%),lack of exercise(83.72%),high calorie food(81.40%),smoking(67.44%),kidney disease(58.14%),retinopathy(76.74%),foot necrosis(79.07%),neuropathy(67.44%)were higher than those of the community diabetes patients in the control group who participated in the study,P<0.05,the difference was statistically significant.The body mass index,fasting blood glucose,2-hour postprandial blood glucose,glycosylated h

关 键 词：药房药师 社区糖尿病 慢病管理 自我管理 身体指标 

分 类 号：R58[医药卫生—内分泌]