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基于患者疾病自我管理能力的下肢动脉疾病药学服务模式的构建
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| 篇名： | 基于患者疾病自我管理能力的下肢动脉疾病药学服务模式的构建 |
| TITLE： | Establishment of pharmaceutical care model for lower extremity artery disease based on patients’disease self-management ability |
| 摘要： | 目的 构建下肢动脉疾病（LEAD）患者院内药学监护＋院外药学门诊一体化服务模式，提高患者的疾病自我管理能力及疾病治疗的有效性和安全性。方法构建LEAD患者院内药学监护及院外药学门诊服务模式（包含药学评估、自我管理能力宣教、药学随访），对患者进行长期管理。选取2021年9月－2022年12月在我院血管外科住院或门诊就诊并经药师管理的65例LEAD患者为研究对象，由药师进行院内药学监护＋院外门诊持续管理，比较经药师管理3个月前后疾病治疗有效性指标、安全性指标和患者疾病自我管理能力指标。结果65例患者经药师管理3个月后，55例患者Fontaine分期降低，管理前后Fontaine分期差异有统计学意义（P＜0.001）；完全遵循指南用药的患者占比由63.1%提升至96.9%，小出血发生率减少7.7%，患者Morisky用药依从性评分和疾病自我管理能力评分显著提高（P＜0.001），就医满意度为“好”的患者占比增加了18.4%。结论LEAD患者院内外一体化药学服务模式可有效提高患者疾病自我管理能力，提高患者疾病治疗的有效性及安全性。 |
| ABSTRACT： | OBJECTIVE To construct the integrated pharmaceutical care model of in-hospital pharmaceutical care+out-hospital pharmacy outpatient service for patients with lower extremity artery disease （LEAD）， so as to improve patients’ disease self- management ability， and the efficacy and safety of therapy. METHODS The in-hospital pharmaceutical care and out-hospital pharmacy outpatient service model was constructed for LEAD patients， including pharmaceutical evaluation， self-management ability education， and pharmacy follow-up， to perform long-term management of patients. Totally 65 LEAD patients admitted to the vascular surgery department of our hospital， receiving pharmacist management， from September， 2021 to December， 2022 were selected as the study objects， and pharmacists conducted in-hospital pharmaceutical care+continuous out-patient management. The efficacy indicators， safety indicators， and patients’s disease self-management ability indicators were compared before and after 3 months of pharmacist management. RESULTS After 3 months of pharmacists’ participation in the management of 65 patients， Fontaine stage decreased in 55 patients， there was the significant difference in Fontaine stage before and after management （P＜ 0.001）. The proportion of patients who completely followed the guidelines for medication increased from 63.1% to 96.9%； the incidence of small bleeding was reduced by 7.7% after pharmacists’ management. The scores of Morisky medication compliance and patients’ disease self-management ability were higher than 3 months ago （P＜0.001）. Patient proportion with “good” medical satisfaction increased by 18.4%. CONCLUSIONS The in-hospital pharmaceutical care and out-hospital pharmacy outpatient service model of LEAD patients can effectively improve patients’ disease self-management ability， and improve the efficacy and safety of therapy. |
| 期刊： | 2024年第35卷第04期 |
| 作者： | 江书正；陈熙；陈飞宇；张韶辉 |
| AUTHORS： | JIANG Shuzheng，CHEN Xi，CHEN Feiyu，ZHANG Shaohui |
| 关键字： | 下肢动脉疾病；疾病自我管理能力；药学服务；药学门诊 |
| KEYWORDS： | lower extremity artery disease； disease self-management ability； pharmaceutical care； pharmaceutical clinic |
| 阅读数： | 36 次 |
| 本月下载数： | 3 次 |
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