药学健康教育干预对老年2型糖尿病患者健康行为及用药依从性的效果研究

A study on effects of pharmaceutical health education intervention on health behavior and medication compliance in elderly patients with type 2 diabetes mellitus

中文关键词: 老年  2型糖尿病  健康行为  用药依从性  社区干预试验

英文关键词: elderly  type 2 diabetes mellitus  health behavior  medication compliance  community intervention trial

中文摘要:

      目的 探讨药学健康教育干预对老年2型糖尿病患者血糖控制率、健康行为及用药依从性的影响.方法 在上海市浦东新区某社区招募340例老年2型糖尿病患者,随机分为干预组(240例)和对照组(100例).对照组给予常规的药学服务,干预组在对照组相同处理的基础上开展为期1年的药学健康教育干预.比较2组干预前后的血糖控制情况、健康行为、用药依从性、干预效果.结果 基线调查时,干预组和对照组血糖控制达标率差异无统计学意义(P＞0.05);干预后调查时,干预组达标率高于对照组(75.4％vs 44.0％,P＜0.05).基线调查时,干预组和对照组健康行为得分差异无统计学意义(P＞0.05);干预后调查时,干预组健康行为得分高于对照组[(31.06±3.94)分vs(26.55±4.88)分,P＜0.05].基线调查时,干预组和对照组用药依从性差异无统计学意义(P＞0.05);干预后调查时,干预组用药依从性高于对照组(70.0％vs 55.0％,P＜0.05).结论 药学健康教育干预可有效改善老年2型糖尿病患者的健康行为、用药依从性、血糖控制达标率,对改善老年2型糖尿病患者健康状况有积极的意义.

英文摘要:

      Objective To investigate the effects of pharmaceutical health education intervention on blood glucose con-trol rate,health behavior and medication compliance in elderly patients with type 2 diabetes mellitus(T2DM).Methods A total of 340 elderly T2DM patients from a community in Pudong New District,Shanghai,were recruited and randomly divided into intervention group(n=240)and control group(n=100).The control group was given conventional pharmaceutical care,and the intervention group was given pharmaceutical health education intervention for one year on the basis of the control group.The blood glucose control,health behavior,medication compliance and effect of the intervention were compared between the two groups before and after the intervention.Results At the baseline survey,there was no statistically significant difference in the compliance rate of blood glucose between the two groups(P＞0.05).At the post-intervention survey,the compliance rate of blood glucose in the intervention group was higher than that in the control group(75.4％vs 44.0％,P＜0.05).At the baseline survey,no significant difference in the health behavior score was observed between the two groups(P＞0.05).At the post-intervention survey,the health behavior score in the intervention group was higher than that in the control group[(31.06±3.94)vs(26.55±4.88),P＜0.05].At the baseline survey,no significant difference in the medication compli-ance was observed between the two groups(P＞0.05).At the post-intervention survey,the medication compliance in the in-tervention group was higher than that in the control group(70.0％vs 55.0％,P＜0.05).Conclusion Pharmaceutical health education intervention can effectively improve the health behavior,medication compliance and compliance rate of blood glucose in elderly T2DM patients.It has positive significance for improving the health status of elderly T2DM patients.