中国药房2024，Vol.35Issue(16)：2033-2037,5.DOI:10.6039/j.issn.1001-0408.2024.16.17
三级医院多学科综合管理团队联动社区药师的老年高血压患者管理模式研究
Study on the management model of elderly patients with hypertension by multi-disciplinary comprehensive management team of tertiary hospital collaborated with community pharmacists
摘要
Abstract
OBJECTIVE To explore the effects of multi-disciplinary comprehensive management team of tertiary hospital collaborated with the pharmacists from community health service center(hereinafter referred to as"community pharmacists")on elderly patients with hypertension in the community.METHODS Elderly patients with hypertension from May 2020 to May 2021 in Yuhua Community Health Service Center of Nanjing were divided into control group(76 cases)and observation group(76 cases)according to the management style.The control group was treated with regular community medical services and the observation group received regular community medical services plus pharmaceutical care provided by the comprehensive management team collaborated with community pharmacists.The compliance,blood pressure control status and hypertension-related complications were compared between 2 groups before management and after 24 months of management.RESULTS After 24 months of management,the compliance and blood pressure compliance rates in both groups were higher than before management;meanwhile,the observation group was significantly higher than control group at the corresponding period(P＜0.05 or P＜0.01).The blood pressure levels of both groups were significantly lower than before management,and the systolic blood pressure as well as the incidences of the whole complications and cerebrovascular injury in the observation group were significantly lower than control group at the corresponding period(P＜0.05).There was statistical significance in the effects of the rate of reaching the standard of blood pressure on the complications(P＜0.01).CONCLUSIONS The hypertension management mode of comprehensive management team collaborated with community pharmacists can significantly improve the compliance and blood pressure compliance rate of elderly patients with hypertension,and reduce the incidence of hypertension-related complications.关键词
高血压/多学科综合管理/社区药师/依从性Key words
hypertension/multi-disciplinary comprehensive management/community pharmacist/compliance分类
医药卫生引用本文复制引用
韩丹,聂力,王美华,吴金丽,严思敏,李伏超,钱云,郗有丽..三级医院多学科综合管理团队联动社区药师的老年高血压患者管理模式研究[J].中国药房,2024,35(16):2033-2037,5.基金项目
南京大学现代医院管理与发展研究所课题(No.NDYG2021049) （No.NDYG2021049）
江苏省药学会-恒瑞医院药学基金科研项目(No.H202154,No.H202020) （No.H202154,No.H202020）
南京药学会-常州四药医院药学科研基金项目(No.2020YX008) （No.2020YX008）
南京大学医学院附属鼓楼医院中西医协同特色技术发展项目(No.CZXM2022110) （No.CZXM2022110）
