临床药师对门诊2型糖尿病患者低血糖风险的评估与管理.pdf

新视野 New Horizons 临床药师对门诊2型糖尿病患者低血糖风险的评估 和管理 李桃园，张楠，杨啸白，陆红柳，张娜，夏文斌* 北京市垂杨柳医院药学中心 ，北京 100022 [摘要] 目的：提高糖尿病患者的安全用药意识和自我管理疾病能力，降低低血糖风险，探索临床药师参与慢病管理的方法。 方法：于我院门诊就诊的2型糖尿病患者114例自愿入组，填写低血糖风险调查问卷 ，实施低血糖全程教育，评估干预前后入 组患者的低血糖认知、知识水平和自我管理疾病的能力。结果：低血糖风险评估提示高龄、糖尿病病程较短、使用胰岛素促 泌剂及使用 β受体阻滞剂的患者 ，是临床药师实施低血糖管理的重点 目标人群；临床药师实施防治低血糖全程教育后 ，患者 的低血糖认知水平和自我管理能力有显著提高，与纳入管理前相比差异有统计学意义。结论：临床药师参与门诊糖尿病患者 的慢病管理，依据低血糖风险高低实施分层次的低血糖全程教育，是控制低血糖风险的有效途径。 [关键词] 2型糖尿病；低血糖风险；临床药师；评估；管理 [中图分类号] R969.3　　[文献标识码]　A　　[文章编号]　1672-2809(2014)22-0014-04 Evaluation and management of Hypoglycemic Risk for Outpatient with Diabetes * Li Tao-yuan, Zhang Nan, Yang Xiao-bai, Lu-Hong-liu, Zhang Na, Xia Wen-bin Pharmacy of Beij ing Chuiyangliu Hospital, Beij ing 100022, China [Abstract] Obj ective: To improve the safetyof medication and self management, reduce the risk of hypoglycemia, and explore ways to participate in chronic disease management by clinical pharmacist. Methods: 114 type 2 diabetes patients were collected in theoutpatient department of our hospital, questionnaire survey and hypoglycemia-related pharmacy services which were related to theknowledge of hypoglycemia and self-management skillsof patients before and after administration,were analyzed. Results: The patients with shorter duration of diabetes,advanced age, insulin secretagogues or β-bolckertreatment are the target ofpopulation of hypoglycemiamanagement. After receiving hypoglycemia-related pharmacy services, the knowledge of hypoglycemia and self-management skillsof patients has greatly improved. Conclusion: Providinghypoglycemiamanagement for type 2 diabetes patients in outpatient, according to the level of risk and carrying out appropriate management, is an appropriate way to participate in chronic disease management by clinical pharmacist. [Keywords] Type 2 Diabetes; Hypoglycemia risk; Clinical Pharmacist; Evaluation; Manage