首页|药师参与社区慢性病药物治疗管理的实践与研究

药师参与社区慢性病药物治疗管理的实践与研究

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目的 探寻药师在社区开展慢性病药物治疗管理(MTM)工作方法,提升慢性病MTM水平。方法 选取2022年7月至2023年6月参加百色市右江区城东社区卫生服务中心慢性病MTM讲座的48例中老年慢性病患者为研究对象,按随机数表法分为对照组和观察组,每组各24例,对照组采用原有的治疗方式,观察组采用药师参与MTM的方式。经过3个月的随访调查后,比较两组患者在不合理用药相关问题、用药依从性、药物治疗效果评价三个方面的差异。结果 观察组总不合理用药率低于对照组,差异有统计学意义(P<0。05)。观察组用药依从率高于对照组,差异有统计学意义(P<0。05)。观察组治疗总有效率高于对照组,差异有统计学意义(P<0。05)。结论 采用药师干预的MTM有效提高了慢性病患者用药认知水平、安全性和依从性,显著改善慢性病患者的药物治疗效果,为药师如何开展慢性病MTM服务提供参考。
Practice and research on pharmacists'participation in medicine treatment management of chronic diseases in community
Objective To investigate the working methods of pharmacists in developing medicine treatment management(MTM)for chronic diseases in the community,so as to improve the management level of drug treatment for chronic diseases.Methods A total of 48 middle-aged and elderly patients with chronic diseases who participated in the lecture on MTM of chronic diseases in Baise Chengdong Community Health Service Center of Youjiang District from July 2022 to June 2023 were selected as the research objects,and they were divided into the control group(n=24)and the observation group(n=24)by random number table method.The control group was treated with the original treatment method,while the observation group was treated with the way of pharmacists participating in MTM.After a 3-month follow-up survey,the differences between the two groups of patients were compared in three aspects,which were problems related to irrational drug use,medication compliance and evaluation of drug treatment effectiveness.Results The rate of irrational drug use in the observation group was lower than that in the control group,with statistically significant difference(P<0.05).The compliance rate of medication in the observation group was higher than that in the control group,with statistically significant difference(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group,with statistically significant difference(P<0.05).Conclusion Pharmacists'intervention in MTM has effectively improved the medication cognitive level,safety and compliance of patients with chronic diseases,significantly improves the drug treatment effect of patients with chronic diseases,and provides reference for pharmacists on how to carry out MTM services for chronic diseases.

Community health serviceChronic diseasesMedicine treatment managementPharmaceutical care

周兰柳、梁琼芳、俞梅、姜攀

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广西壮族自治区百色市中医医院药剂科,广西百色 533000

广西壮族自治区百色市右江区城东社区卫生服务中心,广西百色 533000

广西壮族自治区百色市中医医院医养结合管理科,广西百色 533000

社区卫生服务 慢性病 药物治疗管理 药学服务

广西壮族自治区卫生健康委员会自筹经费科研课题

Z20191022

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(12)