医养结合模式下不同的药学服务对老年患者用药依从性的影响
Effect of different pharmaceutical care on medication compliance of elderly patients under the mode of medical care
目的 分析医养结合模式下不同的药学服务对老年患者用药依从性的影响.方法 选取入住养护中心的能自理老年患者640例作为研究对象,依据提供的药学服务模式不同将老年患者分为研究组和对照组,每组320例.对照组老年患者为其提供传统的药学综合服务模式,研究组老年患者则给予全面的用药咨询、用药指导及与药物相关的系列药学服务.观察两组老年患者的用药依从性和整体满意度情况.结果研究组完全依从率、总的依从率分别为96.25%、99.37%,对照组分别为81.87%、94.37%,研究组完全依从率和总依从率均明显高于对照组(χ2=33.94、13.21,均P<0.05);研究组老年患者调查中满意度明显高于对照组(χ2=8.23,P<0.05);两组用药依从性与其自身学历、年龄差异均无统计学意义(χ2=1.16、0.77,均P>0.05).结论 医养结合模式下,优质的药学服务模式能有效提高老年患者用药依从性.
更多Objective To analyze the effect of different pharmaceutical care on medication compliance of elderly patients under the mode of medical care .Methods 640 elderly patients in the nursing center for self -care were selected as the research subjects .The elderly patients were divided into study group and control group according to the pharmaceutical care model,320 cases in each group.The control group was given traditional pharmaceutical service mode,the study group was given comprehensive drug counseling ,medication guidance and drug related phar-macy services .The medication compliance and satisfaction of the two groups were observed .Results The compliance rate and total compliance rate of the study group were 96.25%,99.37%,respectively,which were significantly higher than 81.87%,94.37%of the control group (χ2 =33.94,13.21,all P<0.05).The satisfaction of the study group was significantly higher than that of the control group (χ2 =8.23,P<0.05).In the two groups,there were no statisti-cally significant differences between medication compliance and record of formal schooling ,age(χ2 =1.16,0.77,all P>0.05).Conclusion Under the mode of medical care ,high quality pharmaceutical care can effectively improve the medication compliance of elderly patients .
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