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Study on Effect of Pharmacy Intervention on Type 2 Diabetes Patients

Author: GaoYuXia
Tutor: LiHongJian
School: Shandong University
Course: Pharmacy
Keywords: Type 2 diabetes mellitus Pharmacy intervention Medication adherence Adverse drug events
CLC: R95
Type: Master's thesis
Year: 2011
Downloads: 72
Quote: 0
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Abstract

Objective: To evaluate pharmacy intervention for receiving multidrug treatment of type 2 diabetes in hospitalized patients, medication adherence, the incidence of adverse drug events, patient satisfaction and medication deviation indicators and evaluation of pharmaceutical intervention during hospitalization for type 2 diabetes patients after discharge from the impact, in order to examine the impact of pharmacy intervention of the safety and efficacy of the drug in patients. Methods: type 2 diabetes pharmacy path, pharmacy services are divided into two phases, the first phase of pharmaceutical care for hospitalized patients, the second stage for patients discharged pharmacy follow-up. Require clinical pharmacist's work program and the specific pharmacy service method, according to the different stages of the hospitalized patients full pharmaceutical care and medication education, the formation of a standardized pharmaceutical care program for patients with type 2 diabetes, as a useful clinical pathway necessary complementary, for the the pharmacy path in the promotion of the national reference template. Pharmacy follow-up plan after discharge of patients with type 2 diabetes, the evaluation of drug efficacy and safety, as the Community type 2 diabetes pharmacy service reference. Designed a randomized, controlled trial, standardized pharmaceutical care hospitalization in patients with type 2 diabetes, will meet the inclusion criteria were randomized to the the pharmacy intervention group and the control group in the main indicators of the experimental investigation is set to patient medication compliance times To indicators include: adverse drug event rates (ADE), patient satisfaction, and patient medication deviation. In patients discharged from hospital a month after the follow-up survey to examine the patient was discharged after medication compliance ADE incidence, the referral rate (or readmission), indicators of satisfaction, glycosylated hemoglobin. Results: Compared with the control group, hospital pharmacy intervention group patients of medication adherence sexual significant significantly increased (P lt; 0.05); preventable and all drug adverse event of the occurrence rate is a significant difference (P lt; 0.05); patient satisfaction and medication guide for general medical process process satisfaction were significantly increased (P lt; 0.01); patient's medication deviation significantly reduce (P lt; 0.001). Compared with the control group, after discharge from hospital pharmacy intervention group patients of medication adherence sexual significant significantly increased (P lt; 0.05); incidence of all drug adverse event of no significant significant difference (P lt; 0.05), preventable drug adverse events The incidence has significant difference (P lt; 0.05); medication deviation significant difference (P lt; 0.05); significant difference (P lt; O.05); referral (or readmission) rate average glycated hemoglobin concentration without statistically significant (P lt; 0.05); patient satisfaction significantly statistical significance (P lt; 0.001). Conclusion: The experimental design for the first time a the clinical pharmacists standardized service model, type 2 diabetes pharmacy path and follow-up plan, in clinical work, doctors and patients praise. This pharmacy service model is expected to promote the application in the treatment of other chronic diseases. At the same time, the pharmacist has accumulated a number of the medication education experience for different patients. Follow the pharmaceutical care path for the whole of the pharmacy intervention for type 2 diabetes in hospitalized patients receiving multidrug treatment can significantly improve patient medication compliance, the incidence of adverse drug events, patient satisfaction, reduce medication deviation. And improve medication compliance after the patient is discharged, to reduce the incidence of preventable ADE, improve patient satisfaction, and reduce the average glycated hemoglobin concentration, had no significant effect on the patient referral (or readmission) rate. The experimental results show that the standardized pharmacy services can guarantee the safety and effectiveness of patient medication, improve patient satisfaction. Carry out the standardized pharmacy services for the chronically ill has an extremely important significance.

Study on Effect of Pharmacy Intervention on Type 2 Diabetes Patients

Abstract

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