细节化药学服务对慢阻肺患者临床疗效的影响

摘要/Abstract

摘要：目的分析慢阻肺患者接受细节化药学服务对临床疗效的影响。方法选取2018年1月—2019年5月就诊的慢阻肺患者80例,根据其入院就诊单双号,予以对照研究,其中就诊单号纳入控制组;就诊双号纳入试验组。控制组仅实施常规治疗,基于此试验组加强细节化药学服务。比较两个组别入院、出院时肺功能指标(FEV1%)、呼吸困难指数(mMRC)分级、生活质量评分(CAT)等指标变化、用药依从性、不良反应率及用药差错率。结果两个组别出院时FEV1%、mMRC分级、CAT评分等对比发现试验组均优于控制组(P<0.05),差异统计学意义;但入院时二者差异无统计学意义(P>0.05)。两个组别用药依从性、不良反应率、用药差错率等对比发现试验组均优于控制组(P<0.05),差异有统计学意义。结论慢阻肺患者接受细节化药学服务的效果显著,既可改善患者呼吸状况和肺功能,又可减少不良反应和用药差错,还可提升用药依从性和生活质量,值得推广研究。

关键词:慢阻肺患者,细节化药学服务,临床疗效,影响

Abstract:Objective: To analyze the effect of detailed pharmaceutical care on clinical efficacy of patients with COPD .Methods: From January 2018 to May 2019, 80 patients with copd were selected for a controlled study based on their number of admission to hospital.Patients with even numbers were included in the experimental group.The control group only received conventional treatment, and the experimental group also received enhanced detailed pharmaceutical care besides conventional treatment.Lung function index (fev1%), respiratory distress index (mMRC) grading, quality of life score (CAT) and other indicators, medication compliance, adverse reaction rate and medication error rate were compared between the two groups at admission and discharge.Results: Fev1%, mMRC grading and CAT score of the two groups at discharge showed that the experimental group was superior to the control group (P＜0.05), which had statistical value; However, there was no significant difference between the two at the time of admission (P＞0.05).The comparison of medication compliance, adverse reaction rate and medication error rate between the two groups showed that the experimental group was superior to the control group (P＜0.05), which had statistical value.Conclusion: Detailed pharmaceutical care for patients with COPD can improve their respiratory status and lung function, reduce adverse reactions and medication errors, and improve drug compliance and quality of life. It is worthy of promotion and research.

Key words:COPD patients,detailed pharmaceutical care,clinical efficacy,impact

中图分类号:

R974

胡月凤, 周向前. 细节化药学服务对慢阻肺患者临床疗效的影响[J]. betway必威登陆网址（betway.com ）学报, 2021, 42(2): 118-120.

HU Yue-feng, ZHOU Xiang-qian. The effect of detailed pharmaceutical care on clinical efficacy of patients with copd[J]. Journal of Shandong First Medical Unversity & Shandong Academy of Medical Sciences, 2021, 42(2): 118-120.

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