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社区药师服务在高血压患者中的应用:中国上海的一项创新实践。

Community Pharmacist Services for Hypertensive Patients: A Novel Practice in Shanghai, China.

机构信息

Tongji University, Shanghai, China.

Shanghai Jiao Tong University School of Medicine, Shanghai, China.

出版信息

Inquiry. 2021 Jan-Dec;58:469580211020874. doi: 10.1177/00469580211020874.

DOI:10.1177/00469580211020874
PMID:34078162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8182196/
Abstract

For Chinese community pharmacists, there is a lack of guidance before and after the drug treatment process for community residents. This study aimed to investigate community pharmacists' role in hypertension management. One hundred ninety-six hypertensive patients were randomly selected from the studied community. For patients in the intervention group, monthly meetings were scheduled with a community pharmacist. Patients in the non-intervention group received standard care from their physicians. In the intervention group, the percentage using information from pharmacists increased significantly, from 54.3% to 94.2% ( < .05). Awareness of self-management was also enhanced, with community self-management group attendance increasing from 53.4% to 77.7% ( < .05), but the non-intervention group did not change significantly. Hypertensive patients' beliefs about community pharmacists also improved significantly. Hypertension status also showed a significant improvement, whereas for participants without intervention, it worsened over time. In addition to increasing knowledge regarding drug use, care provided by community pharmacists can also significantly improve blood pressure status. For those who did not receive intervention, a disproportionate level of health deterioration could be seen.

摘要

对于中国社区药剂师来说,在社区居民的药物治疗过程前后缺乏指导。本研究旨在探讨社区药剂师在高血压管理中的作用。从研究社区中随机选择了 196 名高血压患者。对于干预组的患者,每月与一名社区药剂师安排一次会议。非干预组的患者接受医生的标准护理。在干预组中,使用药剂师信息的比例显著增加,从 54.3%增加到 94.2%(<0.05)。自我管理意识也得到了增强,社区自我管理小组的出勤率从 53.4%增加到 77.7%(<0.05),而非干预组则没有显著变化。高血压患者对社区药剂师的信任也显著提高。高血压状况也明显改善,而对于没有接受干预的参与者,随着时间的推移状况恶化。除了增加用药知识外,社区药剂师提供的护理还可以显著改善血压状况。对于那些没有接受干预的人,健康恶化的程度不成比例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ede6/8182196/de9ef493f226/10.1177_00469580211020874-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ede6/8182196/11c4ef78c464/10.1177_00469580211020874-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ede6/8182196/de9ef493f226/10.1177_00469580211020874-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ede6/8182196/11c4ef78c464/10.1177_00469580211020874-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ede6/8182196/de9ef493f226/10.1177_00469580211020874-fig2.jpg

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