家庭药师服务对社区老年2型糖尿病患者用药依从性和疗效的影响  

Influence of Family Pharmacists′Service on Medication Adherence and Efficacy of Elderly Patients with Type 2 Diabetes Mellitus in Community

作　　者：张雪林 刘海林 王松 ZHANG Xuelin;LIU Hailin;WANG Song(People′s Hospital of Liangjiang New Area,Chongqing,China 401121)

机构地区：[1]重庆两江新区人民医院,重庆401121

出　　处：《中国药业》2024年第22期48-52,共5页China Pharmaceuticals

基　　金：重庆市卫健委医学科研项目[2022WSJK046]。

摘　　要：目的探讨开展家庭药师服务对社区老年2型糖尿病(T2DM)患者用药依从性和疗效的影响,以及后者的影响因素。方法选取重庆两江新区人民医院下属5家社区卫生服务中心2022年3月至5月老年T2DM患者200例,随机分为对照组和观察组,各100例,分别开展传统窗口药学服务及家庭药师服务干预,持续3个月。比较两组患者用药依从性,血糖、血脂、血压达标率及三者联合达标率,并采用多因素Logistic回归分析联合达标的影响因素。结果对照组、观察组最终分别纳入患者96例,98例。干预后,观察组患者改良中文版8条目Morisky用药依从性量表评分为(7.10±0.69)分,显著高于对照组的(5.08±0.61)分(P<0.05);观察组患者血糖达标率为82.65%,联合达标率为41.84%,显著高于对照组的48.96%和19.79%(P<0.05)。家庭药师服务是联合达标的影响因素(P<0.05)。结论家庭药师服务模式可有效提高社区老年T2DM患者的血糖达标率及联合达标率,并改善其用药依从性。Objective To investigate the influence of family pharmacists′service on the medication adherence and efficacy of elderly patients with type 2 diabetes mellitus(T2DM)in community,and the influencing factors of the latter.Methods A total of 200 elderly patients with T2DM admitted to five community health service centers affiliated to the People′s Hospital of Liangjiang New Area in Chongqing from March to May 2022 were selected and randomly divided into the control group and the observation group,with 100 cases in each group.The patients in the control group received the pharmaceutical care through traditional window,while the patients in the observation group received the family pharmacists′service.Both groups were interfered for three months.The medication adherence,standard-reaching rate of blood glucose,blood lipid,blood pressure and combined standard-reaching rate of the above three indicators between the two groups were compared,and the influencing factors of the combined standard-reaching rate were identified by the multivariate Logistic regression analysis.Results Ninety-six cases and ninety-eight cases were ultimately included in the control group and observation group,respectively.After intervention,the modified 8-item Morisky Medication Adherence Scale(Chinese version,MMAS-8)in the observation group was(7.10±0.69)points,which was significantly higher than(5.08±0.61)points in the control group(P<0.05);the standard-reaching rate of blood glucose and combined standard-reaching rate in the observation group was 82.65%,41.84%respectively,which were significantly higher than 48.96%and 19.79%in the control group respectively(P<0.05).Family pharmacists′service was the factor affecting combined standard-reaching rate(P<0.05).Conclusion The family pharmacists′service mode can effectively improve the standard-reaching rate of blood glucose and combined standard-reaching rate of elderly T2DM patients in the community,and improve their medication adherence.

关 键 词：家庭药师服务 社区 老年 2型糖尿病 联合达标 用药依从性 

分 类 号：R95[医药卫生—药学]