摘要
目的探讨全程健康管理模式用于2型糖尿病患者居家药学服务的效果。方法选取医院慢病用药管理门诊2022年8月至2024年8月收治的2型糖尿病患者65例,进行全程健康管理干预,包括药物治疗管理、饮食健康管理和运动健康管理。比较干预前后患者的血糖、血脂、血压、尿酸(UA)、用药依从性、体质量、药品种类数和药品费用情况。结果与干预前比较,干预后患者的糖化血红蛋白(HbA_(1C))、空腹血糖(FBG)、餐后2 h血糖(2 hPG)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、血压(含收缩压、舒张压)、UA、体质量指数(BMI)、用药依从性得分(各维度得分及总得分)均显著改善,达标率均显著升高(P<0.05),药品的种类数和月均费用均显著降低(P<0.05)。结论全程健康管理用于2型糖尿病患者居家药学服务,可有效改善患者的生化指标和体质量情况,提高患者用药依从性,减少药品种类数,降低药品费用。
Objective To investigate the effect of the whole-process health management mode on the home-based pharmaceutical care for patients with type 2 diabetes mellitus(T2DM).Methods A total of 65 patients with T2DM admitted to the chronic disease medication management clinic of the hospital from August 2022 to August 2024 were selected and given the whole-process health management intervention,including drug treatment management,diet health management and sports health management.The blood glucose,blood lipid,blood pressure,uric acid(UA),medication adherence,body mass,drug types and drug costs of patients before and after intervention were compared.Results Compared with those before intervention,the glycosylated hemoglobin(HbA(_1C)),fasting blood glucose(FBG),2-hour postprandial blood glucose(2 hPG),triglycerides(TG),low-density lipoprotein cholesterol(LDL-C),blood pressure(systolic and diastolic),UA,body mass index(BMI),medication adherence score for each dimension and overall score of patients after intervention significantly improved,the standard-reaching rate significantly increased(P<0.05),the drug types and monthly average costs significantly decreased(P<0.05).Conclusion The application of whole-process health management in the home-based pharmaceutical care for patients with T2DM can effectively improve the biochemical indicators and body mass of patients,improve medication adherence,reduce drug types and drug costs.
作者
黄耀莹
吴晓玲
HUANG Yaoying;WU Xiaoling(Affiliated Guangdong Hospital of Integrated Traditional Chinese and Western Medicine of Guangzhou University of Chinese Medicine,Foshan,Guangdong,China 528200)
出处
《中国药业》
2025年第6期21-24,共4页
China Pharmaceuticals
基金
广东省医院协会医院药学科研专项基金[YSGL202201]。
关键词
全程健康管理
2型糖尿病
居家药学服务
whole-process health managemen
type 2 diabetes mellitus
home-based pharmaceutical care
