首页|互联网+药学服务在提高高血压患者用药合理性和安全性的作用研究

互联网+药学服务在提高高血压患者用药合理性和安全性的作用研究

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目的 探讨互联网+药学服务在提高高血压患者用药合理性和安全性的作用,为提高药学服务效果、促进合理用药开辟新途径.方法 选取我院门诊高血压患者120例,随机分为研究组和对照组,每组60例,对照组在门诊药房发药窗口给予用药指导.研究组在对照组基础上,分别于就诊后 l周、1~2周、2周~1个月、1~3个月、3~6个月通过远程医疗设备、微信、抖音、快手等,对患者进行用药指导.记录血压、药品不良反应(ADR)发生情况,通过自制调查问卷记录患者依从性.比较两组患者依从性、血压达标率、ADR发生率.结果 两组患者依从性就诊后1周、2周、1个月、3个月、6个月差异有统计学意义(P<0.05),血压达标率就诊后l周差异无统计学意义(P>0.05),2周、1个月、3个月、6个月差异有统计学意义(P<0.01);两组患者就诊后6个月ADR发生率差异有统计学意义(P<0.01).结论 互联网+药学服务提高了高血压患者依从性、血压达标率,降低了 ADR的发生率,起到了积极作用.
Research on the Role of Internet Plus Pharmaceutical Care in Improving the Rationality and Safety of Drug Use in Patients with Hypertension
OBJECTIVE To explore the role of Internet plus pharmaceutical services in improving the rationali-ty and safety of drug use in patients with hypertension,and to open up a new way to improve the effectiveness of phar-maceutical services and promote rational drug use.METHODS 120 hypertensive patients in our outpatient depart-ment were selected and randomly divided into a study group and a control group,with 60 patients in each group.The control group received medication guidance at the outpatient pharmacy dispensing window.The study group,on the basis of the control group,guided the patients with medication through telemedicine equipment,WeChat,Tiktok,Kwai and so on 1 week,1-2 weeks,2 weeks-1 month,1-3 months,3-6 months after outpatient treatment,and recorded the blood pressure and adverse drug reactions of the two groups of patients,and recorded the medication adherence of the patients through self-made questionnaires.The medication adherence,blood pressure control and adverse drug reac-tions of the two groups were compared.RESULTS There was significant difference in medication adherence be-tween the two groups at 1 week,2 weeks,1 month,3 months and 6 months after the outpatient treatment(P<0.05).There was no statistically significant difference in the rate of reaching target value of blood pressure between the two groups at l week after the visit(P>0.05),but there was a statistically significant difference at 2 weeks,1 month,3 months,and 6 months(P<0.01);There was a statistically significant difference in the incidence of ADR between the two groups of patients at 6 months after treatment(P<0.01).CONCLUSION Intemet plus pharmaceutical service has improved the medication adherence of hypertension patients,the rate of blood pressure reaching the stand-ard,reduced the incidence of ADR,and played a positive role.

Internet plusPharmaceutical carehypertensionMedication adherenceAdverse drug reactions

高艳丽、周纪星、张宝奇、陈忠光、王道艳

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临沂市中心医院临床药学科,山东沂水 276400

临沂市中心医院心血管内科一病区,山东沂水 276400

临沂市中心医院手术部,山东沂水 276400

互联网+ 药学服务 高血压 依从性 药品不良反应

山东省医学会临床药学科研专项

YXH2021ZX025

2024

海峡药学
中国药学会福建分会

海峡药学

影响因子:0.643
ISSN:1006-3765
年,卷(期):2024.36(1)
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