基层药师开展家庭医生签约服务对二型糖尿病患者健康管理影响的探讨
Discussion on the Influence of Family Doctor Contract Service Carried Out by Grassroots Pharmacist on Health Management of Type 2 Diabetes Patients

目的：研究基层药师(药师)加入家庭医生(家医)团队开展药学服务对二型糖尿病(糖尿病)患者健康管理的影响。方法：随机抽取辖区内签约糖尿病患者100例作为研究对象，将其按照有无药师参与分成药师组和对照组，每组50例。研究两组居民糖尿病用药知晓情况，用药依从性，血糖控制水平和满意情况四个健康管理效果的指标差异，对比两组患者空腹血糖控制率、规律用药率、用药知晓率、满意率四个《国家基本公共卫生服务规范(第三版)》(《三版公卫》)相关考核指标的高低。结果：药师组患者除满意率外其他各方面指标均优于对照组，且差异具有统计学意义(P < 0.05)。结论：药师参与家医团队为糖尿病患者提供药学服务有利于提高对糖尿病患者的健康管理水平。
Objective: To study the effect of grassroots pharmacists joining family doctor team to carry out pharmaceutical care on health management of type 2 diabetes patients. Methods: Taking 100 contracted patients with diabetes in in our district at random. They were divided into pharmacist group and control group according to the presence or absence of pharmacist, with 50 cases in each group. To study the difference of four indicators of health management effect, namely, knowledge of diabetes drug use, drug use compliance, blood glucose control level and satisfaction situation, between the two groups of patient, and compare the level of four assessment indicators related to the National Basic Public Health Service Specification (Third Edition), namely, fasting blood glucose control rate, regularity rate of treatment, drug use awareness rate and satisfaction rate. Result: Except for satisfaction rate, all other indicators in the pharmacist group were better than those in the control group, and the difference was statistically significant (P < 0.05). Conclusion: Pharmacists’ participation in the family medical team to provide pharmaceutical services for diabetes patients is conducive to improving the level of health management.