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与非药剂师管理相比,药剂师管理的甲基血红蛋白A1c达到目标的时间与非药剂师管理相比
Olutuminiun Osunsanmi1, Nolan Schmitz1, Belinda Darkwah1
1The University of Kansas Health System, Kansas City, Kansas, United States.
概括
与标准护理相比,药剂师管理显著加快了约14个月的糖尿病控制 (血红蛋白A1c目标). 这突显了药剂师在糖尿病管理中的价值,以更快地获得患者的治疗结果.
科学领域:
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药剂师干预对实现血糖控制 (血红蛋白A1c目标) 的时间的影响存在有限的研究.
- 现有的研究证实了药剂师降低血红蛋白A1c水平的有效性,但没有达到目标水平的速度.
研究的目的:
- 为了比较药剂师管理的患者和非药剂师团队管理的患者之间达到目标血红蛋白A1c的平均时间.
- 评估二次结果,包括实现目标A1c的速度,平均A1c降低,住院率和遵守指导方针导向治疗.
主要方法:
- 一个回顾性,单中心的图表审查比较了药剂师糖尿病管理所指导的成年患者与由标准慢性护理团队管理的患者.
- 非药剂师组得到了多学科团队的支持,包括初级保健提供者,糖尿病教育者,营养师和护士.
主要成果:
- 药剂师管理的患者比非药剂师组 (22.5个月) 的患者 (p=0.001) 更快地 (8.8个月) 实现了他们的A1c目标 (p=0.001).
- 这项研究包括药剂师组的189名患者和非药剂师组的49名患者,共计355名受试者.
结论:
- 药剂师对糖尿病的管理可以加快平均约14个月的血糖控制时间.
- 该研究承认其局限性,包括不考虑并发症,疾病持续时间或特定药物类别,这些可能会影响结果.
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