社区药学服务在2型糖尿病患者健康管理中的临床效果分析  

Analysis on Clinical Effect of Community Pharmaceutical Care in Health Management of Patients with Type 2 Diabetes Mellitus

作　　者：张贝 Zhang Bei(Wuhan City Wuchang District Shuiguohu Street Community Health Service Center,Wuhan 430061,Hubei Province,China)

机构地区：[1]武汉市武昌区水果湖街社区卫生服务中心,湖北武汉430061

出　　处：《中国社区医师》2024年第19期10-12,共3页Chinese Community Doctors

摘　　要：目的:探讨社区药学服务在2型糖尿病患者健康管理中的临床效果。方法:选取2021年1月—2022年12月武汉市武昌区水果湖街社区卫生服务中心开展健康管理的208例2型糖尿病患者作为研究对象,按照随机数字表法分成干预组与对照组,各104例。对照组给予常规用药指导,干预组给予社区药学服务。比较两组空腹血糖、餐后2 h血糖、糖化血红蛋白水平,以及患者对药学服务的评价。结果:干预前,两组空腹血糖、餐后2 h血糖、糖化血红蛋白水平比较,差异无统计学意义(P>0.05);干预后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于干预前,且干预组低于对照组,差异有统计学意义(P<0.05)。干预组对家庭医生技术水平、服务内容、药品配备、治疗依从性、用药规律性、药品相关知识知晓率、不良反应情况、健康管理满意度的评价优于对照组,差异有统计学意义(P<0.05)。结论:社区药学服务在2型糖尿病患者健康管理中的临床效果较好,能够改善患者血糖水平,患者对药学服务的评价较高。Objective:To explore the clinical effect of community pharmaceutical care in health management of patients with type 2 diabetes mellitus.Methods:From January 2021 to December 2022,208 patients with type 2 diabetes mellitus who received health management in Wuhan City Wuchang District Shuiguohu Street Community Health Service Center were selected as the study subjects.The patients were divided into intervention group and control group according to the random number table method,with 104 cases in each group.The control group was given routine medication guidance,while the intervention group was given community pharmaceutical care.The levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin,as well as the evaluation of patients for pharmaceutical care were compared between two groups.Results:Before intervention,there was no significant difference in the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin between the two groups(P>0.05).After intervention,the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the two groups were lower than those before intervention,and the levels in the intervention group were lower than those in the control group,with a statistically significant difference(P<0.05).The evaluations for family doctor's technical level,service content,drug preparation,treatment compliance,drug use regularity,drug-related knowledge awareness rate,adverse reactions,and satisfaction with health management in the intervention group were better than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:The clinical effect of community pharmaceutical care in health management of patients with type 2 diabetes mellitus is good,which can improve the blood glucose levels of patients,and achieve a high evaluation of patients for pharmaceutical care.

关 键 词：社区药学服务 2型糖尿病 药师 

分 类 号：R587.1[医药卫生—内分泌]