Effect of Remote Pharmacy Management Mode on Medication Deviation During Hospital-family Transition Period in Elderly Patients with Coronary Heart Disease Complicated with type 2 Diabetes Mellitus
Objective:To explore the effect of remote pharmacy management mode on medication deviation of elderly patients with coronary heart disease and type 2 diabetes mellitus (T2DM) during hospital-family transition period. Methods:From July 2021 to July 2023,86 elderly patients with coronary heart disease and T2 DM were randomly divided into control group (n=43) and observation group (n=43). The control group received basic nursing,and the observation group received remote pharmacy management mode intervention on the basis of basic nursing. The medication deviation,medication compliance (MMAS-8),self-management ability,blood glucose level and cardiovascular events were compared between the two groups. Results:The MDT score of the observation group was lower than that of the control group after 1 week and 2 months of intervention (P<0.05). The scores of MMAS-8,diet and exercise compliance in the observation group were higher than those in the control group (P<0.05). The SMAS scores of the observation group after intervention were higher than those of the control group (P<0.05). The blood glucose status of the observation group was better than that of the control group (P<0.05). Follow-up showed that there was no significant difference in the incidence of cardiovascular events between the observation group and the control group (P>0.05). Conclusion:The remote pharmacy management mode can effectively reduce the medication deviation,improve the self-management ability and compliance of patients,and reduce the risk of cardiovascular events in the hospital-family transition period of elderly patients with coronary heart disease and T2DM.
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