我院药师在眼科开展糖尿病用药宣教的体会.PDFVIP

我院药师在眼科开展糖尿病用药宣教的体会 ＊ # 林 岩 ，王家伟 ，闻 莉，赵丽媛，丁建军（首都医科大学附属北京同仁医院药剂科，北京 100730） + 中图分类号 R977.15；R952 文献标志码 A 文章编号 1001-0408（2014）38-3633-03 DOI 10.6039/j.issn.1001-0408.2014.38.27 摘 要 目的：了解眼科病房糖尿病患者的用药情况，为今后的宣教方向提供依据，更好地保证治疗效果。方法：从2013年1－10 月在眼科宣教时收集到100例病例中，发现3个方面的问题：胰岛素笔使用方法误区、用药不合理、日常饮食营养及运动不合理，并 选取5例典型病例进行分析。结果：在开展用药宣教前，超过80％的患者在正确使用胰岛素方面存在问题，经过宣教，完善了患者 正确使用胰岛素笔的方法，其各方面正确率均达到100％；超过90％的患者对于糖尿病的错误认识得到了纠正，规范了降糖药的 正确使用，从而使血糖控制得更为平稳，提高了患者的预后水平，有效地延缓了病情的发展。结论：应针对出现的问题在临床科室 进行沟通，同时根据临床需求，制订更适宜的用药宣教内容。 关键词 糖尿病宣教；典型病例；分析 Experience of Medication Education on DM by Clinical Pharmacists in the Department of Ophthalmology of Our Hospital LIN Yan ，WANG Jia-wei ，WEN Li ，ZHAO Li-yuan ，DING Jian-jun （Dept. of Pharmacy ，Beijing Tongren Hospital Affiliated to Capital Medical University ，Beijing 100730，China ） ABSTRACT OBJECTIVE ：To provide the basis for future education direction and then ensure better therapeutic efficacy by in- vestigating drug use in the department of ophthalmology. METHODS ：Among 100cases collected in the department of ophthalmolo- gy during Jan. to Oct. 2013，the problems of 3respects were found ：misuse of insulin pen ，unreasonable medication ，unreasonable daily diet and sport. 5 typical cases were collected and analyzed. RESULTS ：Before education ，more than 80％patients had prob- lems with the use of insulin ；after education ，patients had a mastery of knowledge on insulin pen use ，with correct rate of 100％. The wrong understanding of more than 90％patients had been corrected ，and the use of hypoglycemic drugs had been standardized so as to control the blood glucose ，improve the prognosis of patient and slow the progression of disease. CONCLUSIONS ：More suitable medication education contents should be set up through communicating with clinical departments about the problems based on clinical requirements.