• 中国核心期刊(遴选)数据库收录期刊
  • 中文科技期刊数据库收录期刊
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中国药物评价 ›› 2021, Vol. 38 ›› Issue (5): 453-456.

• 药物管理 • 上一篇    下一篇

精神专科医院慢病管理药学服务模式的探索

王健昌, 刘清霞, 杜灵娇   

  1. 佛山市顺德区伍仲珮纪念医院, 广东 佛山 528300
  • 收稿日期:2021-03-19 修回日期:2021-08-06 出版日期:2021-10-28 发布日期:2021-10-28
  • 基金资助:
    佛山市科技创新项目自筹经费类科技计划项目(项目编号:1920001000849)

Exploration of the Pharmacy Service Model for Chronic Disease Management in Psychiatric Hospitals

  1. Wu Zhongbei Memorial Hospital, Shunde District, Guangdong Foshan 528300, China
  • Received:2021-03-19 Revised:2021-08-06 Online:2021-10-28 Published:2021-10-28

摘要: 目的:探索慢病管理药学服务模式对精神疾病患者用药依从性的影响。方法:收集2020年1月至2021年12月在我院进行治疗的精神疾病伴有慢病患者120例,按随机数字法分成观察组和对照组,各60例。对照组患者给予常规药物服务模式,观察组患者给予慢病管理药学服务,主要包括入院时用药评估、住院期间药物治疗管理、出院用药教育和出院后进行药学门诊管理四个部分。评价两组患者治疗前后杨氏躁狂评定量表(YMRS)评分、汉密尔顿抑郁量表(HAMD)评分、药物依从性评定量表(MARS)评分和康复状态量表(MRSS)评分,判断慢病管理药学服务模式对精神病患者用药依从性的影响。结果:经治疗后,观察组的YMRS评分、MRSS评分、HAMD评分得分均明显低于对照组;观察组的用药依从率显著高于对照组,所有结果均具有统计学意义(P<0.05)。结论:对精神专科医院慢病管理实施药学服务,可以有效降低和缓解精神疾病患者的相关症状,促进患者康复,值得在临床上进一步推广应用。

关键词: font-size:medium, ">精神专科;慢病管理药学服务;用药依从性;探索

Abstract: Objective: To explore the influence of chronic disease management pharmacy service model on medication compliance of patients with mental illness. Methods: Collected 120 patients with mental illness and chronic disease who were treated in our hospital from January 2020 to December 2021, and divided them into observation group and control group according to the random number method, with 60 cases in each group. Patients in the control group were given conventional drug service mode, and patients in the observation group were given chronic disease management pharmacy services, which mainly included four parts: drug evaluation on admission, drug treatment management during hospitalization, discharge drug education, and outpatient pharmacy management after discharge. To evaluate the Young′s Mania Rating Scale (YMRS) scores, Hamilton Depression Scale (HAMD) scores, Medication Compliance Rating Scale (MARS) scores and Rehabilitation Status Scale (MRSS) scores before and after treatment in the two groups to determine chronic disease. The influence of management pharmacy service mode on medication compliance of patients with mental illness. Results: After treatment, the YMRS score, MRSS score, and HAMD score of the observation group were significantly lower than those of the control group, while the medication compliance rate of the observation group was significantly higher than that of the control group. All results were statistically different. Conclusion: The implementation of pharmaceutical care for the management of chronic diseases in psychiatric hospitals can effectively reduce and relieve the symptoms of patients with mental illness and promote the recovery of patients. It is worthy of further clinical research and utilization.

Key words: font-size:medium, ">Psychiatric specialty; Chronic disease management pharmacy service; Medication compliance; Explore

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