School of Pharmacy, University of Missouri–Kansas City, MO 64108, USA.
J Am Pharm Assoc (2003). 2013 Jan-Feb;53(1):14-21. doi: 10.1331/JAPhA.2013.11227.
To assess the clinical and patient-centered outcomes of health coaching provided in the workplace by community pharmacists.
Prospective interventional cohort study.
11 independent community pharmacy chain locations in northwest and central Missouri, from January 2010 to January 2011.
81 benefit-eligible patients and 23 community pharmacy coaches employed by the self-insured pharmacy chain.
Patients were stratified into monitoring groups according to baseline screening values for cholesterol, blood pressure, fasting blood glucose (FBG), body mass index (BMI), and waist circumference. Patients selected their pharmacist coach. Follow-up appointments occurred monthly to quarterly. Appointments consisted of education, goal setting, and monitoring through evaluation of treatment goals and physical assessment.
Change from baseline in mean total cholesterol, serum triglycerides, high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, systolic blood pressure (SBP), diastolic blood pressure (DBP), FBG, weight, BMI, waist circumference, health-related quality of life (HRQoL), and patient satisfaction.
Patients' total cholesterol, LDL cholesterol, HDL cholesterol, DBP, and FBG were reduced significantly. Mean changes in triglycerides, SBP, weight, BMI, and waist circumference were not statistically significant. The 36-Item Short-Form Health Survey version 2.0 showed improvements in both the Physical and Mental Component Summaries but did not reach statistical significance. More than 90% of patients were satisfied with the service and the care they received.
Wellness coaching by a pharmacist provided in a community pharmacy can result in significant improvements in cardiovascular risk factors, with a trend toward improved HRQoL. In addition, patients were satisfied with the wellness program from the start of the project.
评估社区药剂师在工作场所提供的健康指导的临床和以患者为中心的结果。
前瞻性干预性队列研究。
2010 年 1 月至 2011 年 1 月期间，密苏里州西北部和中部的 11 家独立社区药房连锁店。
81 名符合条件的患者和 23 名受雇于自我保险药房连锁店的社区药房教练。
根据基线筛查的胆固醇、血压、空腹血糖（FBG）、体重指数（BMI）和腰围值，患者被分层为监测组。患者选择他们的药剂师教练。每月或每季度进行随访预约。预约包括教育、目标设定和通过评估治疗目标和身体评估进行监测。
平均总胆固醇、血清甘油三酯、高密度脂蛋白（HDL）胆固醇、低密度脂蛋白（LDL）胆固醇、收缩压（SBP）、舒张压（DBP）、FBG、体重、BMI、腰围、健康相关生活质量（HRQoL）和患者满意度从基线的变化。
患者的总胆固醇、LDL 胆固醇、HDL 胆固醇、DBP 和 FBG 显著降低。甘油三酯、SBP、体重、BMI 和腰围的平均变化没有统计学意义。36 项简短健康调查第二版显示身体和精神成分摘要均有改善，但未达到统计学意义。超过 90%的患者对服务和他们所接受的护理感到满意。
社区药剂师提供的健康指导可以显著改善心血管风险因素，同时 HRQoL 也有改善趋势。此外，患者从项目开始就对健康计划感到满意。
