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目的 :探讨社区全科医师对老年慢性病患者进行药物重整的效益。方法:对社区就诊的老年高血压合并糖尿病患者进行药物重整干预共6次,干预前后进行问卷调查,评估药物重整指导效果。结果:入组患者211例,干预后长期用药品种显著减少,每月药费总金额和每月药费自付金额显著降低,总体健康状况和精神健康评分显著提高,患者满意度上升,患者健康自评分上升(P<0.01)。结论:药物重整可提高老年患者生活质量,具有多方面效益。以全科医师为载体,是开展社区药物重整的有效途径。
Objective: To explore the benefits of community general practitioners in drug rehabilitation of elderly patients with chronic diseases. Methods: A total of 6 interventions were carried out in community-based hypertensive patients with diabetes mellitus. Drug interventions were conducted before and after the intervention to evaluate the effect of drug reforming. Results: A total of 211 patients were enrolled in this study. The long-term drug use decreased significantly after the intervention. The total monthly drug cost and the monthly drug cost decreased significantly. The overall health status and mental health score increased significantly. The patient satisfaction increased and the patient health Self score increased (P <0.01). Conclusion: Drug reforming can improve the quality of life of elderly patients, with many benefits. Taking a general practitioner as a carrier is an effective way to carry out community drug reorganization.