药剂师领导的2型糖尿病药物治疗培训的有效性,基于在中国发现的患者和医生的药物相关问题
Zhong Hui Yang1, Chang Juan Cheng1, Guo Mei Chen1
1Department of Pharmacy, Taicang First People's Hospital, Soochow University, Taicang, Jiangsu, People's Republic of China.
概括
药剂师主导的培训显著改善了家庭医生对2型糖尿病的药物治疗知识,减少了患者的药物治疗问题,并降低了禁食血葡萄糖 (FPG). 这种方法提高了慢性疾病管理和患者的治疗结果.
科学领域:
- 药理学和临床药学 药理学和临床药学
- 内分泌学和糖尿病管理
- 主要护理医学 医疗保健
背景情况:
- 家庭医生需要对合理的药物处方进行持续教育,以有效管理慢性疾病.
- 2型糖尿病 (T2DM) 管理需要优化药物使用,以改善患者的治疗结果.
- 药剂师主导的干预可以提高医疗保健专业人员的知识和处方实践.
研究的目的:
- 评估药剂师领导的专业药物培训对家庭医生合理处方药物的影响.
- 评估医生培训后患者药物相关问题和血糖控制的变化.
- 为改善慢性疾病管理中的药物实践提供一个模型.
主要方法:
- 为家庭医生实施了一年制药师领导的培训计划,重点是药物更新和临床病例讨论.
- 通过干预前后的调查,评估了医生的知识和患者的药物使用.
- 收集患者层面的数据,包括药物问题和空腹血葡萄糖 (FPG),并比较干预前后的情况.
主要成果:
- 医生知识分数在培训后显著改善 (32.67±6.14至37.12±6.24,P<0.05),减少了关于口服和注射药物的误解.
- 患者药物使用问题的发生率下降了55.0% (从171到77,P<0.05).
- 干预后患者的平均空腹血葡萄糖 (FPG) 度显著下降 (P<0.05).
结论:
- 药剂师主导的培训有效地提高了家庭医生的T2DM药物知识.
- 该干预措施导致患者药物问题显著减少,并改善了血糖控制.
- 这种由药剂师领导的模型提供了一个可扩展的策略,用于改善药物治疗实践和慢性疾病管理中的患者结果.
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