首页|基于"互联网+"药学服务模式对高血压患者血压控制水平及用药依从性的影响

基于"互联网+"药学服务模式对高血压患者血压控制水平及用药依从性的影响

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目的 探讨"互联网+"药学服务模式对高血压患者血压控制水平及用药依从性的影响,为改善高血压患者的用药合理性和预后效果提供参考.方法 收集2021年10月-2023年10月在上海市浦东新区人民医院治疗的200例高血压患者作为研究对象,按照随机数字表法分为对照组和观察组,对照组行常规药学管理,观察组接受"互联网+"药学服务模式,对比两组患者血压控制水平、用药依从性、用药安全性以及用药满意度.结果 经过6个月的随访,观察组脱落11例,剩余89例;对照组脱落16例,剩余84例.与对照组相比,观察组血压水平和血压控制达标率提升,用药依从性和药学服务满意程度改善,组间差异均有统计学意义(P<0.05).观察组发生用药不良反应例次率为24.72%,对照组发生率为20.24%,两组差异无统计学意义(x2=0.497,P=0.481),但观察组由于药物不良反应导致的自行停药、换药、减少剂量等错误处置事件得到及时纠正.结论 "互联网+"药学服务模式对高血压患者的血压控制和用药依从性有积极的影响,也有利于规范患者对药物不良反应的处理,从而提高患者的用药合理性和预后效果.
Effect of the pharmaceutical care model based on"Internet+"on blood pressure control level and medication adherence in patients with hypertension
Objective To explore the influence of the pharmaceutical care model based on"Internet+"on blood pressure regulation and medication compliance among hypertensive patients,and to provide references for improving rational drug use and prognostic outcomes.Methods Two hundred hypertensive patients treated in Shanghai Pudong New Area People's Hospital from October 2021 to October 2023 were selected as the research subjects,and they were randomly divided into the control group and the observation group according to the random number table method.The control group received routine pharmaceutical management,while the observation group received the pharmaceutical care model based on"Internet+".The blood pressure control level,medication adherence,medication safety and medication satisfaction of the two groups were compared.Results After 6 months of follow-up,11 cases dropped out from the observation group,with the leavings of 89 cases.16 cases dropped out from the control group,with the leavings of 84 cases.Compared with the control group,the blood pressure level and the qualified rate of blood pressure control in the observation group increased,and medication adherence as well as pharmaceutical service satisfaction were improved,showing statistically significant differences between the two groups(P<0.05).The incidence rate of cases with adverse drug reactions in the observation group was 24.72%,whereas that in the control group was 20.24%,showing no statistically significant difference between the two groups(x2=0.497,P=0.481).The wrong disposal events caused by adverse drug reactions,such as self-discontinuation,switching and dose reduction in the observation group were timely corrected.Conclusion The pharmaceutical care model based on"Internet+"can boost blood pressure regulation and medication adherence of the hypertensive patients,and is also conducive to standardizing the patients'disposal of adverse drug reactions so as to improve the patients'rational drug use and prognostic outcomes.

"Internet+"hypertensionmedication adherenceblood pressure control

李璐奕、朱海燕、邱彦、王建、王燕

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上海市浦东新区人民医院,上海 201299

"互联网+" 高血压 用药依从性 血压控制

2024

实用预防医学
中华预防医学会 湖南省预防医学会

实用预防医学

CSTPCD
影响因子:1.391
ISSN:1006-3110
年,卷(期):2024.31(12)