标题：新型药学服务模式联合网络信息自我管理模式在肺结核患者居家治疗中的应用

      作者：林梅 1，钟永辉 2，朱丽阳 1，薛卫 1，罗汉杰 1，全翼飞 1，陈晓君 1，卢婷 1    佛山市第四人民医院药剂科 1、结核科 2，广东 佛山 528000

      卷次： 2022年33卷22期

      【摘要】 目的 研究新型药学服务模式联合网络信息自我管理模式在肺结核患者居家治疗中的应用效果。方法 选取2021年6月至2021年12月来佛山市第四人民医院结核门诊药房取药的100例肺结核居家治疗患者作为研究对象。按照随机数表法将其分为研究组和对照组各50例。两组患者均接受标准化方案治疗，对照组采用传统的药学服务模式，研究组采用新型药学服务模式联合网络信息自我管理模式，两组患者均干预治疗12个月。干预前及干预12个月后，采用院内自制的《肺结核患者自我管理能力调查问卷》评估患者的自我管理能力，采用世界卫生组织生存质量测定量表(WHOQOL-BREF)评估患者的生活质量，采用院内自制的《肺结核患者疾病认知水平调查问卷》评估患者的疾病认知水平，采用院内自制的患者用药依从性调查表评估患者的用药依从性；干预期间，比较两组的药物不良事件，采用院内自制的满意度问卷调查表对患者的满意度进行评估。结果 干预后，两组患者的自我管理能力各项评分均显著提高，且研究组患者的药物管理、饮食管理、症状管理、心理功能评分分别为(16.65±3.62)分、(16.35±3.61)分、(16.89±3.68)分、(18.21±0.24)分，明显高于对照组患者的(13.28±3.47)分、(14.26±3.52)分、(13.28±4.03)分、(15.36±3.84)分，差异均有统计学意义(P<0.05)；干预后，两组患者的生活质量评分、疾病认知水平的评分均显著提高，且研究组患者的生活质量评分、疾病认知水平评分分别为(72.62±5.89)分、(78.27±5.62)分，明显高于对照组患者的(60.62±6.02)分、(68.24±5.06)分，差异均有统计学意义(P<0.05)；研究组患者的用药依从性与满意度分别为92.00%、96.00%，明显高于对照组患者的76.00%、80.00%，差异均有统计学意义(P<0.05)；研究组患者的药物不良事件总发生率为2.00%，明显低于对照组患者的14.00%，差异有统计学意义(P<0.05)。结论 采用新型药学服务模式联合网络信息自我管理模式对肺结核居家治疗患者进行干预，可进一步提高患者的用药依从性与生活质量，降低药物不良事件发生率，是适合在各级医院推广的联合干预方案。
      【关键词】 新型药学服务模式；网络信息自我管理模式；肺结核；依从性；生活质量；满意度
      【中图分类号】 R521 【文献标识码】 A 【文章编号】 1003—6350（2022）22—2921—05

Application of new pharmaceutical care model combined with network information self-management model inhome treatment of pulmonary tuberculosis patients.
LIN Mei 1, ZHONG Yong-hui 2, ZHU Li-yang 1, XUE Wei 1, LUOHan-jie 1, QUAN Yi-fei 1, CHEN Xiao-jun 1, LU Ting 1. Pharmacy Department 1, Tuberculosis Department 2, Foshan FourthPeople's Hospital, Foshan 528000, Guangdong, CHINA
【Abstract】 Objective To study the application effect of new pharmaceutical care model combined with net-work information self-management model in home treatment of pulmonary tuberculosis patients. Methods From June2021 to December 2021, 100 patients with pulmonary tuberculosis who visited Tuberculosis Outpatient Pharmacy, Fos-han Fourth People's Hospital to get medicine for home treatment were selected as the research subjects. According to therandom number table, the patients were divided into a study group and a control group, with 50 cases in each group.Based on standardized treatment, the control group adopted traditional pharmaceutical care mode, and the study groupadopted new pharmaceutical care mode combined with network information self-management mode. The two groups ofpatients were intervened for 12 months. Before and 12 months after the intervention, the self-management ability of pa-tients was assessed by using the self-made questionnaire for self-management ability of patients with pulmonary tuber-culosis, and the quality of life of patients was assessed by using the World Health Organization Quality of life Scale(WHOQOL-BREF). The disease cognition level of patients was assessed by using the self-made questionnaire for dis-ease cognition level of patients with tuberculosis, and the self-made medication compliance questionnaire was used toevaluate the medication compliance of patients. During the intervention period, the adverse drug events of the twogroups were compared, and the satisfaction of patients was evaluated by using the self-made satisfaction questionnaire.Results After the intervention, the scores of self-management ability in the two groups were significantly improved,and the scores of drug management, diet management, symptom management, and psychological function in the studygroup were (16.65±3.62) points, (16.35±3.61) points, (16.89±3.68) points, (18.21±0.24) points, which were significantly