基于单病种管理构建急性心肌梗死患者用药教育路径  

Constructing a Medication Education Pathway for Patients With Acute Myocardial Infarction Based on Single Disease Management

作　　者：赖进科[1] 张玲[1] 覃玲莉 LAI Jinke;ZHANG Ling;QIN Lingli(Department of Clinical Pharmacy,Liuzhou Municipal Liutie Central Hospital,Liuzhou Guangxi 545001,China)

机构地区：[1]柳州市柳铁中心医院临床药学科,广西柳州545001

出　　处：《中国卫生标准管理》2025年第2期122-125,共4页China Health Standard Management

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20210090)。

摘　　要：目的 基于单病种管理思路,临床药师建立急性心肌梗死患者用药教育路径,并追踪患者药物治疗的情况,为单病种管理提供参考依据。方法 选取柳州市柳铁中心医院2021年1—12月收治的24例急性心肌梗患者作为研究对象,开展药物使用现状调查,并构建用药教育路径。比较干预前、干预后用药依从性、用药知识认知程度等情况。结果 干预后,患者对双联抗血小板药物的使用率最高,为100%,醛固酮受体拮抗剂的使用率最低,仅有25.00%。干预后,患者的用药良好依从率为91.67%,高于干预前的50.00%,差异有统计学意义(P <0.05)。患者再入院2例,再入院率为8.33%。干预后,患者对药物的用法用量、服药注意事项认知度分别为100%、91.67%,高于干预前的58.33%、50.00%;干预后忘记服药、症状改善后自行停药行为发生率率分别为0、8.33%,低于干预前的33.33%、58.33%,差异均有统计学意义(P <0.001)。干预后患者的不良反应发生率为8.33%,低于干预前的58.33%,差异有统计学意义(P <0.001)。结论 面向急性心肌梗死患者,临床药师参与用药教育,可以规范单病种管理且有效提高患者对用药知识的认知程度及用药依从率,降低不良反应发生率。Objective Based on the concept of single disease management,clinical pharmacists establish a medication education pathway for patients with acute myocardial infarction and track their medication treatment status,providing reference basis for single disease management.Methods A total of 24 patients with acute myocardial infarction admitted to Liuzhou Municipal Liutie Central Hospital from January to December 2021 were selected as the research subjects,conducted a survey on the current status of drug use,and constructed a drug education pathway.Medication adherence and medication knowledge awareness before admission and after admission intervention were compared.Results After intervention,the use rate of dual antiplatelet drugs in patients was the highest,accounting for 100%,while the use rate of aldosterone receptor antagonists was the lowest,only 25.00%.The good medication compliance rate of patients after intervention was 91.67%,which was higher than the 50.00%before intervention,and the difference was statistically significant(P<0.05).Two patients were readmitted,with a readmission rate of 8.33%.After intervention,patients′awareness of medication usage and dosage,as well as medication precautions,was 100%and 91.67%,respectively,which was higher than the pre intervention levels of 58.33%and 50.00%.The incidence rates of forgetting to take medication and self stopping medication after symptom improvement after intervention were 0 and 8.33%,respectively,which were lower than those before intervention(33.33%and 58.33%,respectively),and the differences were statistically significant(P<0.001).The incidence of adverse reactions in patients after intervention was 8.33%,significantly lower than the 58.33%before intervention,and the difference was statistically significant(P<0.001).Conclusion For patients with acute myocardial infarction,clinical pharmacists participating in medication education can standardize single disease management,effectively improve patients′understanding of medication knowledge,improve medica

关 键 词：单病种管理 急性心肌梗死 用药教育路径 依从性 措施 效果 

分 类 号：R540[医药卫生—心血管疾病]