大理大学学报 ›› 2023, Vol. 8 ›› Issue (10): 16-20.

• 药学 • 上一篇    下一篇

药学服务干预对白族高血压患者用药依从性及疗效的影响研究

李 霞1,董小薇2,邱 琳1,杨丕辉1,董 颖1,汪清桂1,古 云1*   

  1. (1.大理大学第一附属医院药剂科,云南大理 671000;2.大理大学药学院,云南大理 671000)

  • 收稿日期:2022-11-04 修回日期:2023-01-04 出版日期:2023-10-15 发布日期:2023-10-26
  • 通讯作者: 古云,副主任药师,E-mail:156719002@qq.com。
  • 作者简介:李霞,主管药师,主要从事医院药学研究。
  • 基金资助:

    云南省地方本科高校基础研究联合专项资金项目(202001BA070001-206);云南省教育厅科学研究基金项目(2020J0575);大理市科技计划项目(2019KGB003)

The Impact of Pharmaceutical Care Intervention on Medication Compliance and Efficacy in Hypertension Patients of Bai Ethnic Minority

Li Xia 1, Dong Xiaowei2, Qiu Lin1, Yang Pihui1, Dong Ying1, Wang Qinggui1, Gu Yun1*   

  1. (1. Department of Pharmacy, The First Affiliated Hospital of Dali University, Dali, Yunnan 671000, China; 2. College of Pharmacy, Dali University, Dali, Yunnan 671000, China)

  • Received:2022-11-04 Revised:2023-01-04 Online:2023-10-15 Published:2023-10-26

摘要:

目的:研究药学服务干预对白族高血压患者用药依从性及疗效的影响。方法:选择2020年1—6月在大理大学第一附属医院就诊的106例白族原发性高血压患者为研究对象,采用随机法将其分为对照组和干预组,对照组接受常规的药学服务,干预组采用计划、实施、检查、处理(PDCA)循环开展药学服务。对2组患者干预前后生活质量评分、血压控制情况、用药依从性以及不良反应发生率进行比较分析。结果:干预后,干预组患者生活质量量表各维度评分显著高于对照组,收缩压、舒张压显著低于对照组,差异有统计学意义(P<0.01);干预组患者用药依从率显著高于对照组,药物不良反应发生率显著低于对照组,差异有统计学意义(P<0.01)。结论:采用PDCA循环开展药学服务,能够提高白族高血压患者用药依从性,帮助其更好地控制血压。

关键词:

药学服务干预, 白族, 高血压, 用药依从性

Abstract:

Objective: To investigate the impact of pharmaceutical care intervention on medication compliance and efficacy in hypertension patients of Bai ethnic minority. Methods: A total of 106 essential hypertension patients of Bai ethnic minority who were treated in the First Affiliated Hospital of Dali University from January to June 2020 were selected as study objects, and randomly divided into control group and intervention group. The control group received routine pharmaceutical care, and the intervention group adopted the plan-do-check-action(PDCA) cycle to carry out pharmaceutical care. The quality of life scores, blood pressure control, medication compliance and incidence of adverse reactions were compared before and after intervention in both groups. Results: After intervention, the scores of each dimension in the quality of life scale in the intervention group were significantly higher than those in the control group, and the systolic and diastolic blood pressure were significantly lower than those in the control group, with statistical significance(P<0.01); the medication compliance rate in the intervention group was significantly higher than that in the control group, and the incidence of adverse drug reactions was significantly lower than that in the control group, with statistical significance(P<0.01). Conclusion: Adopting PDCA cycle to carry out pharmaceutical care can improve medication compliance of hypertension patients of Bai ethnic minority and help them better control blood pressure.

Key words:

pharmaceutical care intervention, Bai ethnic minority, hypertension, medication compliance

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