Strand Mark A, Gramith Kirstin, Royston Macy, Wang Xiaoxi, Perry Judith, Elliott Curt
Pharmacy Practice, Master of Public Health Program, North Dakota State University, Fargo, ND, USA.
Pharmacy Practice, College of Health Professions, North Dakota State University, Fargo, ND, USA.
Int J Pharm Pract. 2017 Oct;25(5):371-378. doi: 10.1111/ijpp.12327. Epub 2016 Nov 29.
To determine medication use patterns and associated health outcomes in Chinese individuals with diabetes, hypertension or hyperlipidaemia.
This community-based cross-sectional study was done in a north China city of 300 000 people. Participants were recruited by poster and phone call through Community Health Centres. Data were collected on 638 Chinese individuals. Interviews were done to screen for disease and health behaviours. Fasting blood was collected and analyzed.
Participants' average age was 52 years. Self-reported prevalence of type 2 diabetes, hypertension and hyperlipidaemia was 9.6, 29.9 and 20.5% respectively. Medication adherence was found among 88, 60 and 81.5% of individuals with diabetes, hypertension and hyperlipidaemia respectively. Treatment success, as defined by medication adherence and treatment to goal was achieved by 21, 23 and 10% of diabetic, hypertensive and hyperlipidaemic patients.
A large proportion of individuals with chronic disease in this China-based study were not being successfully treated, putting them at high risk for poor health outcomes. In this urban China setting, healthcare services need to be strengthened in order to achieve better treatment outcomes among chronic disease patients. It is recommended that community pharmacists contribute to improving these outcomes through participation in patient education, medication reconciliation and disease state management.
确定中国糖尿病、高血压或高脂血症患者的用药模式及相关健康结局。
这项基于社区的横断面研究在华北一个拥有30万人口的城市开展。通过社区卫生中心张贴海报和电话招募参与者。收集了638名中国个体的数据。进行访谈以筛查疾病和健康行为。采集空腹血并进行分析。
参与者的平均年龄为52岁。自我报告的2型糖尿病、高血压和高脂血症患病率分别为9.6%、29.9%和20.5%。糖尿病、高血压和高脂血症患者中分别有88%、60%和81.5%的人坚持用药。根据用药依从性和治疗达标定义的治疗成功率，糖尿病、高血压和高脂血症患者分别为21%、23%和10%。
在这项基于中国的研究中，很大一部分慢性病患者未得到有效治疗，使其面临健康结局不佳的高风险。在这个中国城市环境中，需要加强医疗服务，以在慢性病患者中取得更好的治疗效果。建议社区药剂师通过参与患者教育、用药核对和疾病状态管理来促进改善这些结局。
