首页|医药协同管理模式对经皮冠状动脉介入治疗术后危险因素控制的影响

医药协同管理模式对经皮冠状动脉介入治疗术后危险因素控制的影响

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目的 探讨医药协同管理模式对经皮冠状动脉介入治疗(PCI)术后危险因素控制的影响.方法 选取安徽省阜阳市颍上县人民医院2020年1月至2021年11月接受PCI的患者180例,按随机数字表法分为观察组(医药协同管理模式)和对照组(仅医师管理),各90例.患者每月门诊随访1次,随访6个月.结果 出院时两组患者各临床指标均无显著差异(P>0.05);随访6个月时,观察组低密度脂蛋白胆固醇达标率(75.56%比48.89%,P<0.001)、非高密度脂蛋白胆固醇达标率(64.44%比45.56%,P=0.011)、心率达标率(22.22%比6.67%,P=0.003)、β受体拮抗剂使用率(75.56%比53.33%,P=0.002)、血管紧张素转化酶抑制剂(或血管紧张素Ⅱ受体拮抗剂)使用率(77.78%比53.33%,P=0.001)及Morisky量表评分[(7.74±0.46)分比(7.11±0.77)分,P<0.001]均显著高于对照组.两组患者药品不良事件发生率无显著差异(2.22%比0,P>0.05).结论 医药协同管理可改善PCI术后患者的危险因素控制,提高患者的用药依从性.
Effect of Physician-Pharmacist Collaborative Management Mode on Risk Factor Control in Patients After Percutaneous Coronary Intervention
Objective To investigate the effect of physician-pharmacist collaborative management mode on the risk factor control in patients after percutaneous coronary intervention(PCI).Methods A total of 180 patients who underwent PCI at the People's Hospital of Yingshang from January 2020 to November 2021 were selected and divided into the observation group(physician-pharmacist collaborative management mode)and the control group(physician management mode)by a random number table method,with 90 cases in each group.The patients were received follow-up visits once a month for six months.Results There was no significant difference in clinical indicators between the two groups at discharge(P>0.05).At the follow-up visits of six months,the standard-reaching rates of low-density lipoprotein cholesterol(LDL-C,75.56%vs.48.89%,P<0.001),non-high-density lipoprotein cholesterol(non-HDL-C,64.44%vs.45.56%,P=0.011)and heart rate(22.22%vs.6.67%,P=0.003),the use rates of β-receptor antagonist(75.56%vs.53.33%,P=0.002)and angiotensin converting enzyme inhibitor/angiotensin Ⅱ receptor blockers(ACEI/ARB,77.78%vs.53.33%,P=0.001)and Morisky Medication Adherence Scale score[(7.74±0.46)points vs.(7.11±0.77)points,P<0.001]in the observation group were significantly higher than those in the control group.There was no significant difference in the incidence of adverse events between the two groups(2.22%vs.0,P>0.05).Conclusion Physician-pharmacist collaborative management mode can improve the risk factor control and medication adherence in patients after PCI.

physician-pharmacist collaborative management modepercutaneous coronary interventionsecondary preventive drugrisk factormedication adherence

孙燕、刘玉龙、何笑笑、方玉婷

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安徽省阜阳市颍上县人民医院,安徽阜阳 236200

中国科学技术大学附属第一医院·安徽省立医院,安徽 合肥 230001

医药协同管理模式 经皮冠状动脉介入治疗 二级预防药物 危险因素 用药依从性

2024

中国药业
重庆市食品药品监督管理局

中国药业

CSTPCD
影响因子:1.369
ISSN:1006-4931
年,卷(期):2024.33(24)