药师线上指导在外痔复发防治中的效果研究

摘要/Abstract

摘要： 目的通过观察药师干预下患者的外痔复发情况,探讨药师线上指导在外痔防治中的应用价值。方法选取2018年1月—2022年6月在钦州市第二人民医院就诊的外痔患者108例,按照抛币法将患者随机分成对照组和观察组两组,每组54例。对照组按肛肠科常规局部用药治疗,观察组则在对照组常规治疗的基础上由临床药师线上通过互联网对患者进行日常指导,包括饮食指导、用药指导及生活习惯指导等干预,观察比较两组患者2年内复发率、发病天数、治疗后康复时长和治疗医药费开支情况差异。结果临床药师干预后观察组患者2年内外痔复发率明显低于对照组,差异有统计学意义（P<0.05）;观察组复发患者发病天数、康复时长和治疗医药费都明显低于对照组,且观察组复发患者发病天数、康复时长和治疗医药费也都明显低于干预前,差异有统计学意义（P<0.05）。结论在外痔复发防治中临床药师通过线上指导,提高患者对疾病的认知度和防治依从性,可有效预防痔疮复发,明显降低患者复发率。

关键词: 药师指导, 外痔, 防治。

Abstract: Objective Observing the recurrence of external hemorrhoids in patients under the intervention of pharmacists, in order to explore the application value of online guidance of pharmacists in the prevention and treatment of external hemorrhoids. Methods A total of 108 patients diagnosed with external hemorrhoids who visited Qinzhou Second People's Hospital from January 2018 to June 2022 wree selected as research subjects.According to coin toss, the patients were randomly divided into two groups: control group (54 cases) and observation group (54 cases).The control group was treated with routine local medication in the anorectal department, while the observation group received daily guidance from clinical pharmacists online through the internet on the basis of routine treatment in the control group, including dietary guidance, medication preparation guidance, and lifestyle guidance.The recurrence rate, the average days of illness, the recovery time after treatment and the drug expenses were compared between the two groups. Results After intervention by clinical pharmacists, the recurrence rate of hemorrhoids in the observation group (33.33%) was significantly lower than that in the control group (68.52%) within 2 years, with a statistically significant difference (P<0.05).In the observation group, the number of days of illness, the recovery time and the cost of treatment drugs were significantly lower than those in the control group.Moreover, the incidence days, rehabilitation time, and treatment drug costs of patients who experience recurrence of the disease in the observation group were significantly lower than before the intervention, with statistically significant differences (P<0.05). Conclusion In the prevention and treatment of external hemorrhoids recurrence, clinical pharmacists provide online guidance to improve patients' awareness of the disease and compliance with prevention and treatment, which can effectively prevent hemorrhoids recurrence and significantly reduce the recurrence rate of patients.

Key words: pharmacist guidance, external hemorrhoid, prevention

中图分类号:

R657.1
R9

蔡为华. 药师线上指导在外痔复发防治中的效果研究[J]. 中华养生保健, 2024, 42(10): 170-173.

CAI Wei-hua. Study on the Effect of Pharmacist Online Guidance in the Prevention and Relapse of External Hemorrhoids[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(10): 170-173.

参考文献

[1] 中华医学会外科学分会结直肠肛门外科学组,中华中医药学会肛肠病专业委员会,中国中西医结合学会结直肠肛门病专业委员会.痔临床诊治指南(2006版)[J].中华胃肠外科杂志,2006,9(5):461-463.
[2] 章丽娟,王亚平.护理干预在硫酸镁湿敷联合马应龙麝香痔疮膏治疗炎性外痔中的应用研究[J].基层医学论坛,2021,25(6):758-760.
[3] 中国中西医结合学会大肠肛门病专业委员会.中国痔病诊疗指南(2020)[J].结直肠肛门外科,2020,26(5):519-533.
[4] 袁彩霞,胡建军,张蕊.消肿祛瘀汤坐浴联合护理干预在痔术后的应用效果观察[J].中国肛肠病杂志,2020,40(4):32-33.
[5] 夏铮铮,冀连梅,孟珺.基于移动互联网社交软件的专科药学咨询服务实践[J].中国药师,2019,22(9):1679-1681.
[6] 张颖颖. 基于干预映射的健康计划在痔疮术后患者健康行为中的应用[D].郑州:郑州大学,2022.
[7] 张颖颖,王鹏.干预映射改善痔疮患者健康行为的效果研究[J].中国医药科学,2022,12(2):93-97.
[8] 庞晓军,李嘉豪,黎东旺,等.某市居民用药安全科普干预的研究[J].现代预防医学,2020,47(8):1456-1459.
[9] 杜娟. 慢性病患者自我导向学习能力对疾病认知的影响研究[J].中国当代医药,2017,24(2):150-152.
[10] 赵慧杰. 三七化痔丸治疗痔疮的临床效果及安全性观察[J].河南医学研究,2016,25(10):1883-1884.
[11] 周家铭,吴亚萍,宁娜,等.三七化痔丸联合马应龙麝香痔疮膏治疗痔疮的随机双盲前瞻性临床研究[J].中医临床研究,2022,14(30):92-95.
[12] 刘启学,卢精华,吴春艳,等.三七消痔栓联合手术切除治疗Ⅰ~Ⅱ期内痔临床研究[J].中国药业,2022,31(15):94-97.
[13] KANE B, SANDS D Z.Guidelines for the clinical use of electronic mail with patients.The AMIA Internet Working Group,Task Force on Guidelines for the Use of Clinic-Patient Electronic Mail[J].J Am Med Inform Assoc,1998,5(1):104-111.
[14] ASSEMI M, TORRES N M, TSOUROUNIS C, et al.Assessment of an online consumer “Ask Your Pharmacist” service[J].Ann Pharmacother,2002,36(5):787-792.
[15] 王静,张臣宇,吴迪,等.成都市社会药房慢病管理服务现状调查研究[J].中国药房,2020,31(5):622-626.
[16] 诸慧,陈斯佳,金剑.基于微信公众平台开展药学服务[J].医药导报,2019,38(5):672-675.
[17] 翟文静,熊大艳,詹秦晋戈,等.基于互联网面向非住院患者的药学服务[J].宜春学院学报,2016,38(6):77-79,82.
[18] 李丽莉,金锐,孙路路.我院用药咨询微信平台建设的实践与体会[J].中国药房,2016,27(7):926-929.