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[1]刘彦儒,刘小林,龚婧如,等.基于区域药学协作的糖尿病药物治疗管理模式实践效果[J].医学研究与战创伤救治(原医学研究生学报),2021,23(05):475-478.[doi:10.3969/j.issn.1672-271X.2021.05.006]
　LIU Yan-ru,LIU Xiao-lin,GONG Jing-ru,et al.Practice and effect of diabetic medication therapy management based on regional pharmaceutical collaboration[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2021,23(05):475-478.[doi:10.3969/j.issn.1672-271X.2021.05.006]
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基于区域药学协作的糖尿病药物治疗管理模式实践效果()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第23卷
期数:
2021年05
页码:
475-478
栏目:
临床研究
出版日期:
2021-09-20

文章信息/Info

Title:
Practice and effect of diabetic medication therapy management based on regional pharmaceutical collaboration
作者:
刘彦儒;  刘小林; 龚婧如; 陆惠平; 朱琦敏; 赵辉; 周卫英; 汪勇东
作者单位：201399上海，上海市浦东医院药剂科（刘彦儒、刘小林、龚婧如、陆惠平）；201314上海，浦东新区老年医院药剂科（朱琦敏）；201313上海，浦东新区万祥社区卫生服务中心药剂科（赵辉）；201311上海，浦东新区大团社区卫生服务中心药剂科（周卫英）；201314上海，浦东新区宣桥社区卫生服务中心药剂科（汪勇东）
Author(s):
LIU Yan-ru1;  LIU Xiao-lin1;  GONG Jing-ru1;  LU Hui-ping1;  ZHU Qi-min2;  ZHAO Hui3;  ZHOU Wei-ying4;  WANG Yong-dong5
(1.Department of Pharmacy, Shanghai Pudong Hospital, Shanghai 201399, China；2.Department of Pharmacy, Shanghai Pudong New Area Geriatric Hospital, Shanghai 201314, China; 3.Pudong New Area Wanxiang Community Health Service Center, Shanghai 201313, China; 4.Pudong New Area Datuan Community Health Service Center, Shanghai 201311, China; 5.Pudong New Area Xuanqiao Community Health Service Center, Shanghai 201314, China)
关键词:
糖尿病; 区域药学协作; 药物治疗管理; 药学服务; 糖尿病管理知识; 用药依从性
Keywords:
diabetes mellitus;  regional pharmacy collaboration;  medication therapy management;  pharmaceutical care;  SDSCA;  Morisky
分类号:
R587.1
DOI:
10.3969/j.issn.1672-271X.2021.05.006
文献标志码:
A
摘要:
目的探讨区域药学协作的糖尿病药物治疗管理服务模式对糖尿病患者自护能力及血糖控制的影响。方法联合区域内社区药师，选取2020年4月至7月门诊就诊的128例糖尿病患者为研究对象，采用随机数字表法分为对照组和观察组各64例，对照组给予常规糖尿病管理模式，观察组给予区域药学协作的糖尿病药物治疗管理模式，即与医联体区域内社区医院药师联合为患者提供药物治疗管理，均干预6个月，对比2组干预前后糖尿病管理知识（SDSCA）评分、用药依从性Morisky评分及血糖控制情况。结果观察组干预后SDSCA总分及Morisky评分均显著高于干预前[（69.60±8.10）分 vs （52.17±13.30）分,（7.51±0.67）分 vs （6.67±1.22）分]，且均显著高于对照组[（61.62±12.96）分，（6.67±1.22）分]，差异均有统计学意义（P＜0.05）。观察组和对照组干预后的空腹血糖（FBG）和糖化血红蛋白（HbAlc）均低于干预前[对照组：（7.74±1.63） mmol/L vs （7.82±1.49）mmol/L；(7.66±1.54)% vs （7.96±1.91）%；观察组：（6.91±1.19） mmol/L vs （7.83±2.81）mmol/L；（7.14±0.99）% vs （8.00±1.73）%]，且干预后的水平观察组低于对照组（P＜0.05）。观察组患者FBG控制率为 85.94%，高于对照组的57.81%（P<0.01）；HbAlc的控制率为76.56%，高于对照组的50.00%（P<0.01）。结论区域药学协作的糖尿病药物治疗管理服务可有效提高糖尿病患者自我健康管理能力及血糖控制水平。
Abstract:
ObjectiveTo explore the effect of regional pharmaceutical cooperationmodel on self-care ability and blood glucose management in diabetic patients.MethodsA total of 128 outpatients with diabetes were selected as the study objects from April 1st to July 31th 2020, and randomly divided into the control group and the observation group, with 64 cases in each group. The patients in the control group was given a routine diabetes management model for 6 months. The patients in the observation group was given a regional pharmaceutical collaboration model of the diabetic medication therapy management for same time. The scores of SDSCA,Morisky and blood glucose control were compared before and after the intervention between the two groups.ResultsThe SDSCA total score and Morisky score after the intervention were (69.60±8.10) and (7.51±0.67), respectively. Those scores were significantly higher than the scores before intervention (52.17±13.30) and (6.67±1.22), respectively (P<0.05). And those were also significantly higher than the scores after intervention of the control group, (61.62±12.96) and (6.67±1.22), respectively (P<0.05). The FBG and HbAlc level of the two groups after the intervention were significantly lower than those before the intervention [control group: FBG (7.74±1.63) mmol/L afetr vs (7.82±1.49) mmol/L before, HbAlc (7.66±1.54)% after vs (7.96±1.91)% before. Observation group: FBG (6.91±1.19 mmol/L after vs (7.83±2.81 mmol/L before, HbAlc (7.14±0.99)% after vs (8.00±1.73)% before](P<0.05). And the FBG and HbAlc level after intervention in the collaboration group were significantly lower than the control group (P<0.05). The control rate of FBG and HbAlc in the observation group were 85.94% and 76.56%, which were all significantly higher than those in the control group 57.81% and 50.00%, respectively (P<0.01).ConclusionRegional pharmaceutical collaboration model in diabetes drug management services can improve self-management ability and blood sugar control level of diabetic patients.

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备注/Memo

备注/Memo:
基金项目：上海市浦东新区卫生系统重要薄弱学科资助（PWZbr2017-15）；复旦大学附属浦东医院重点专科专病诊治中心项目（Tszk2020-05）
更新日期/Last Update: 2021-10-11