基层医疗机构慢病管理药学服务模式对糖尿病患者病情控制及并发症的影响  

Influence of chronic disease management pharmaceutical service mode in primary medical institutions on the condition control and complications of diabetes patients

作　　者：香巧柳 张杰安 香良佳 余小琼 张杰仪 Xiang Qiaoliu;Zhang Jiean;Xiang Liangjia;Yu Xiaoqiong;Zhang Jieyi(Hengli Hospital,Dongguan,Guangdong 523460,China;Hengli Town Community Health Service Center,Dongguan,Guangdong 523460,China)

机构地区：[1]广东省东莞市横沥医院,广东东莞523460 [2]广东省东莞市横沥镇社区卫生服务中心,广东东莞523460

出　　处：《首都食品与医药》2025年第5期122-124,共3页Capital Food Medicine

摘　　要：目的 探讨基层医疗机构慢病管理药学服务模式对糖尿病患者病情控制及并发症的影响.方法 选择东莞市横沥镇社区卫生服务中心收治的80例糖尿病患者为观察对象,纳入时间为2022年3月-2024年3月,根据药学服务模式分为管理组(n=40)、常规组(n=40).管理组给予慢病管理药学服务模式,常规组给予常规用药指导,对比两组患者的依从性(科学用药、血糖监测、科学饮食、合理运动)、血糖指标(空腹血糖、餐后2小时血糖、糖化血红蛋白)、并发症发生率(糖尿病肾病、糖尿病足、糖尿病眼病、糖尿病神经病变).结果 管理组患者在科学用药、血糖监测、科学饮食、合理运动四方面的依从性优于常规组(P<0.05);干预后,管理组的空腹血糖、餐后2小时血糖、糖化血红蛋白指标均优于常规组(P<0.05);管理组、常规组的并发症发生率分别为5.00%、20.00%,管理组的并发症发生率低于常规组(P<0.05).结论 慢病管理药学服务模式可以有效提高基层医疗机构患者的自我管理能力,提高服药依从性,进而维持血糖水平,降低并发症发生率.Objective To explore the influence of chronic disease management pharmaceutical service mode in primary medical institutions on the condition control and complications of diabetes patients.Methods Eighty patients with diabetes who were admitted to Hengli Community Health Service Center in Dongguan were selected as the observation objects.The patients were included from March 2022 to March 2024.According to the pharmaceutical care model,they were divided into the management group(n=40)and the conventional group(n=40).The management group was provided with chronic disease management pharmaceutical service mode,and the conventional group was provided with conventional medication guidance.The compliance(scientific medication,blood glucose monitoring,scientific diet,and reasonable exercise),blood glucose indicators(fasting blood glucose,2-hour postprandial blood glucose,and glycosylated hemoglobin),and the incidence of complications(diabetes nephropathy,diabetes foot,diabetes eye disease,and diabetes neuropathy)of patients in the two groups were compared.Results The compliance of patients in the management group was better than that in the control group in terms of scientific medication,blood glucose monitoring,scientific diet,and reasonable exercise(P<0.05);after intervention,the fasting blood glucose,2-hour postprandial blood glucose,and glycated hemoglobin indicators in the management group were better than those in the control group(P<0.05);the incidence of complications in the management group and the control group were 5.00%and 20.00%,respectively.The incidence of complications in the management group was lower than that in the conventional group(P<0.05).Conclusion The chronic disease management pharmaceutical service model can effectively improve the self-management ability of patients in primary medical institutions,enhance medication compliance,maintain blood sugar levels,and reduce the incidence of complications.

关 键 词：慢病管理药学服务模式 基层医疗机构 慢病管理 

分 类 号：R95[医药卫生—药学]