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以临床药师为核心的多学科协作模式对糖尿病患者的管理效果

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目的 观察以临床药师为核心的多学科协作(MDT)模式对糖尿病患者的管理效果.方法 选取南宁市中医医院2021 年1 月至2022 年7 月收治的400例糖尿病患者,采用随机数字表法将其分为对照组(200例)与干预组(200例).对照组行常规糖尿病慢病教育,干预组在此基础上采用以临床药师为核心的MDT模式.干预12个月后,比较两组血糖水平、病情控制达标率,评估治疗满意度.结果 干预后,两组空腹血糖、餐后2h 血糖、糖化血红蛋白水平均低于干预前,且干预组低于对照组(P<0.05).干预组体重指数、血压、血脂、尿白蛋白达标率均高于对照组(P<0.05).干预组干预满意度优于对照组(P<0.05).结论 糖尿病患者的管理工作中,采用以临床药师为核心的MDT模式能进一步提高降糖效果、有效控制病情,改善患者的生活质量,值得推广.
Effect of multidisciplinary team model with clinical pharmacists as the core on the management of diabetic patients
Objective To observe the effect of multidisciplinary team(MDT)model with clinical pharmacists as the core on the management of dia-betic patients.Methods A total of 400 diabetic patients admitted to Nanning Hospital of Traditional Chinese Medicine from January 2021 to July 2022 were selected and divided into control group(200 cases)and intervention group(200 cases)by random number table method.The control group received conventional chronic diabetes education,and the intervention group adopted MDT model with clinical pharmacists as the core.After 12 months of intervention,blood glucose level and disease control rate were compared between the two groups,and treatment satisfaction was as-sessed.Results After intervention,the levels of fasting blood glucose,2 h postprandial blood glucose,and glycosylated hemoglobin in both groups were lower than those before intervention,and those of intervention group were lower than those of control group(P<0.05).The compliance rate of body mass index,blood pressure,blood lipid,and urinary albumin of intervention group were higher than those of control group(P<0.05).Inter-vention satisfaction in the intervention group was better than that in the control group(P<0.05).Conclusion In the management of diabetic pa-tients,the MDT model with clinical pharmacists as the core can further improve the hypoglycemic effect,effectively control the disease,and improve the quality oflife of patients,which is worth promoting.

DiabetesMultidisciplinary team modelBlood glucose levelSatisfactionQuality of life

宁剑、陈莉娜、马宁宁

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南宁市中医医院药学部,广西南宁 530000

糖尿病 多学科协作模式 血糖水平 满意度 生活质量

广西卫生健康委科研项目

Z20210282

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(15)