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药剂师主导的多因素干预方案对2型糖尿病患者药物优化和药物坚持的影响:随机对照试验
Marwan El-Deyarbi1,2, Luai Ahmed3, Jeffrey King4,5
1Department of Pharmacy, Oud Al-Touba Diagnostic and Screening Clinic, Ambulatory Health Services, Abu Dhabi Health Services Co. SEHA, Al Ain, Abu Dhabi, 00971, United Arab Emirates.
F1000Research
|September 25, 2024
概括
一项新的药剂师主导的干预措施显著改善了2型糖尿病患者的药物坚持. 这种方法结合了药物治疗管理和数字工具,为提高患者对慢性疾病管理的遵守提供了一个有希望的策略.
科学领域:
- 临床药房 临床药房
- 药物经济学 药物经济学
- 糖尿病管理 糖尿病管理
背景情况:
- 慢性疾病中药物不良服药导致不良结果和增加医疗保健成本.
- 创新策略对于改善患者对处方药物治疗方案的坚持至关重要.
- 与患者相关的因素显著影响了患者的坚持和临床结果.
研究的目的:
- 评估一种新的多因素药剂师主导干预方案 (MPIP),以改善药物服药.
- 在2型糖尿病患者中,评估药物治疗管理 (MTM) 计划与数字工具相结合的有效性.
主要方法:
- 一个随机对照试验,涉及192名2型糖尿病患者在阿联.
- 干预包括MTM,面对面咨询,药物手册和移动应用程序.
- 药物持有率和药物持有率调查问卷测量的药物坚持.
主要成果:
- 在12个月后,MPIP组显示药物坚持显著改善 (MPRt 0.95与0.92,P=0.02).
- 在干预组中通过问卷得分观察到高的坚持率 (66对48).
- 在MPIP组的MTM计划导致了更多的临床干预 (41对6).
结论:
- 药剂师主导的干预方案有效地提高了糖尿病患者的药物坚持.
- 该MPIP优化了药物治疗方案,并改善了在门诊护理环境中的坚持.
- 这种方法表明,通过加强药物服药,可以改善慢性疾病管理的潜力.
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