| 临床药师与医护协作模式对老年慢性病患者持续性干预效果分析 |
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| 引用本文： | 陈集志,;吴军,;李刚,;徐兰,;肖明生,;熊墨煌,;张增珠,;汪启炉.临床药师与医护协作模式对老年慢性病患者持续性干预效果分析[J].中国慢性病预防与控制,2014(6):691-693. |
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| 作者姓名： | 陈集志 ;吴军 ;李刚 ;徐兰 ;肖明生 ;熊墨煌 ;张增珠 ;汪启炉 |
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| 作者单位： | [1]中国人民解放军第94医院药学科,江西省南昌330002; [2]中国人民解放军第94医院老年科;,江西省南昌330002; [3]中国人民解放军第94医院呼吸科,江西省南昌330002; |
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| 摘 要： | 目的探讨医药护人员协作对老年慢性病患者持续性干预的效果,为提高老年患者慢性疾病预后生活质量提供依据。方法将某院老年科和呼吸科收治的老年慢性病患者120例随机分为干预组和对照组,两组患者均接受常规的治疗、护理和药学服务,干预组在上述基础上对患者住院和3个月随访期间提供全程医药护服务,出院后3个月后测评两组患者日常生活自理能力、是否再次入院及用药依从性情况。结果出院3个月后,干预组老年患者日常生活能力均值为（21.97±11.24）分,对照组为（27.69±11.67）分,差异有统计学意义（t=-3.23,P〈0.05）;干预组患者再次入院率（11.86%）较对照组（34.48%）低,差异有统计学意义（χ^2=8.43,P〈0.01）;干预组患者用药依从性好（79.66%）较对照组（48.28%）高,差异有统计学意义（χ^2=13.83,P〈0.01）。结论实施持续性医药护人员协作干预模式能有效地改善老年慢性病患者的日常生活能力,降低其再次入院率,提高其用药依从性,值得在老年慢性疾病患者的干预中推广应用。
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| 关 键 词： | 慢性病 持续性干预 协作模式 |
Effect of persistent intervention by cooperation of clinical pharmacists with doctors and nurses on elderly patients with chronic diseases |
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| Institution: | CHEN Ji-zhi, WU Jun, LI Gang, XU Lan, XIAO Ming-sheng, XIONG Mo-huang, ZHANG Zeng-zhu, WANG Qi-lu (Department of Pharmacy, The 94th Hospital of People Liberation Army, Nanchang, Jiangxi Province 330002, China) |
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| Abstract: | Objective To explore the effect of persistent intervention by cooperative of clinical pharmacists with doctors and nurses on the elderly patients with chronic diseases and to provide the base for improving life quality of patients. Methods One hundred and twenty cases with chronic diseases from the geriatrics and respiration departments were selected, which were randomly divided into the control group and intervention group. Two groups received conventional treatment, care and pharmacy services. Also the intervention group received whole medical care service in hospital and 3 months of following-up. In 3 months after discharge,activity of daily living（ADL）, re-admission and medication compliance of two groups were evaluated. Results The score of ADL in the intervention group was 21.97±11.24,which was significantly higher than that（27.69±11.67） in the control group（P〈0.05）.The re-admission rate（11.86%） in the intervention group was significantly lower than that（34.48%） in the control group（P〈0.05）. The medication compliance rate（79.66%） in the intervention group was significantly higher than that（48.28%） in the control group（P〈0.01）. Conclusion The model of persistent intervention of cooperation of clinical pharmacists with doctors and nurses could effectively improve the activity of daily living of the elderly patients with chronic diseases, reduce the re-admission rate and improve the medication compliance. |
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| Keywords: | Chronic diseases Persistent intervention Cooperation model |
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