摘要
目的 基于医联系统建立药物治疗管理(MTM)咨询平台,考察平台管理对服药依从性差的高血压患者的疗效。方法 在医联系统设立包含药物治疗管理要素的药学咨询平台。选取住院期间调整过高血压药物治疗方案的依从性差的出院高血压患者80例,随机分为观察组和对照组各40例,对照组接受传统医学服务,观察组额外接受线上药物治疗管理咨询服务。在3个月、6个月后比较两组血压达标患者的百分比,并比较6个月后两组患者在服药依从性、高血压防治知识、安全用药认知度。结果 观察组在3个月和6个月时血压达标的患者百分比高于对照组(χ^(2)=8.531,4.344,均P<0.05)。6个月后,观察组用药依从性、高血压防治知识知晓情况、安全用药认知度均优于对照组(χ^(2)=32.903,9.319,9.319,均P<0.05)。6个月后,观察组BMI[(22.72±3.10) kg·m^(-2) vs (23.99±2.17) kg·m^(-2),t=12.093,P=0.028]、高钠摄入比率[22.50%(9/40) vs 50.00%(20/20),χ^(2)=20.163,P=0.017]、不适当饮酒率[5%(5/40) vs 40%(16/40),χ^(2)=39.904,P<0.001]以及焦虑评分[(2.43±1.00)分vs (3.71±1.03)分,t=4.527,P=0.037]、抑郁评分[(2.14±0.36)分vs (3.89±1.20)分,t=17.793,P<0.001]均低于对照组,观察组中等体力活动率高于对照组[77.50%(31/40) vs 57.50%(23/40),χ^(2)=21.472,P=0.016];观察组生命质量总得分高于对照组[(72.63±10.23)分vs (65.28±9.89)分,t=29.198,P<0.001]。结论 通过在医联系统平台开展药物治疗管理(MTM)咨询服务,能提高依从性差的高血压患者服药依从性、对疾病及安全用药的认知,提高患者血压达标率。
Objective To establish a consulting platform for drug treatment management(MTM)based on the medical alliance system and investigate the efficacy of this platform management for hypertensive patients with poor medication compliance.Methods A pharmaceutical consultation platform containing elements of drug treatment management was set up in the medical alliance system.A total of 80 discharged hypertensive patients with poor compliance who had adjusted the hypertensive drug treatment plan during hospitalization were selected and randomly divided into the observation group and the control group,wtih 40 in each group.The patients in the control group received traditional medical services while those in the observation group received additional online drug treatment management consulting service.After 3 and 6 months,the percentage of patients with blood pressure reaching the standard was compared between the two groups.Meanwhile,the patient’s medication compliance,knowledge of hypertension prevention and treatment and awareness of safe medication were also compared after 6 months.Results At the end of the 3rd and 6th month,the compliance rate of blood pressure in the observation group was remarkably higher than that in the control group(χ^(2)=8.531,4.344,both P<0.05).Six months later,the observation group showed better medication compliance,knowledge of hypertension prevention and treatment and awareness of safe medication than the control(χ^(2)=32.903,9.319,9.319,all P<0.05).The BMI((22.72±3.10)kg∙m-2 vs(23.99±2.17)kg∙m-2,t=12.093,P=0.028),high sodium intake ratio(22.50%(9/40)vs 50.00%(20/20),χ^(2)=20.163,P=0.017),inappropriate alcohol consumption rate(5%(5/40)vs 40%(16/40),χ^(2)=39.904,P<0.001),anxiety score((2.43±1.00)points vs(3.71±1.03)points,t=4.527,P=0.037)and depression score((2.14±0.36)points vs(3.89±1.20)points,t=17.793,P<0.001)of the observation group were all lower than those of the control.However,the moderate physical activity rate of the observation group was higher than that of the control(77.50%(31/40)vs 57.50%(23/40),χ^(2)=21.472,P=0.016).The total score of quality of life was significantly higher in the observation group than in the control((72.63±10.23)points vs(65.28±9.89) points, t=29.198, P<0.001). Conclusion The drug therapy management (MTM) consulting service provided by the platform of medical alliance system can improve the drug compliance and awareness of disease and safe medication to elevate the rate of normal blood pressure in those hypertensive patients with poor compliance.
作者
匡丽萍
石丽娅
张荔
马红霞
刘金莲
康莉
Kuang Li-ping;Shi Li-ya;Zhang Li;Ma Hong-xia;Liu Jin-lian;Kang Li(Department of Pharmacy,Karamay Central Hospital,Karamay 834000,China)
出处
《中国药物应用与监测》
CAS
2024年第4期484-488,共5页
Chinese Journal of Drug Application and Monitoring
基金
2019年新疆维吾尔自治区药学会科研基金项目(YXH201906)。
关键词
医联系统
药物治疗管理
应用分析
疗效评价
药事管理
Medical alliance system
Medication treatment management
Application analysis
Efficacy evaluation
Pharmaceutical administration
