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临床药师干预对老年冠心病患者康复治疗效果的影响

Effect of Clinical Pharmacist Intervention on Rehabilitation of Elderly Patients with Coronary Heart Disease
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摘要 目的 探讨老年冠心病患者给予临床药师干预后对康复治疗效果产生的影响.方法 将该院2018年2月—2019年12月收治的50例老年冠心病患者依数字奇偶法分组;干预组(25例):采用常规心脏康复治疗+临床药师干预方式完成;对照组(25例):采用常规心脏康复治疗方式完成;就组间低密度脂蛋白水平、血压水平、METs以及6MWD水平展开对比.结果 干预前,干预组老年冠心病患者低密度脂蛋白、舒张压、收缩压水平同对照组比较差异不明显(P>0.05);干预后,干预组低密度脂蛋白、舒张压以及收缩压水平均低于对照组明显(P<0.05);干预前,干预组老年冠心病患者METs(4.08±0.63)以及6MWD(220.08±62.03)m同对照组(4.10±0.56)以及(219.14±61.71)m比较差异无统计学意义(P>0.05);干预后,干预组老年冠心病患者METs(4.80±0.26)以及6MWD(255.30±25.11)m高于对照组(4.49±0.29)以及(229.21±26.43)m明显(P<0.05).结论 临床药师干预方式的有效运用,可使得老年冠心病患者低密度脂蛋白水平以及血压水平获得显著降低,同时使患者METs以及6MWD有效增加,使患者运动耐力增强,充分实现老年冠心病患者有效预后. Objective To explore the effect of clinical pharmacist intervention on rehabilitation of elderly patients with coronary heart disease.Methods 50 elderly patients with coronary heart disease admitted in our hospital from February 2018 to December 2019 were divided into two groups.The intervention group(25 cases)was completed with routine cardiac rehabilitation treatment+clinical pharmacist intervention;the control group(25 cases)was completed with routine cardiac rehabilitation treatment.The levels of low-density lipoprotein,blood pressure level,METs and 6MWD level between the two groups were compared.Results Before intervention,there was no significant difference in LDL,diastolic and systolic blood pressure between the intervention group and the control group(P>0.05).After intervention,the levels of low-density lipoprotein,diastolic blood pressure and systolic blood pressure in the intervention group were significantly lower than those in the control group(P<0.05).Before intervention,there was no significant difference between METs(4.08±0.63)and 6MWD(220.08±62.03)m in the intervention group and(4.10±0.56)and(219.14±61.71)m in the control group(P>0.05).After intervention,the METs(4.80±0.26)and 6MWD(255.30±25.11)m of elderly CHD patients in the intervention group were significantly higher than those in the control group(4.49±0.29)and(229.21±26.43)m(P<0.05).Conclusion The effective use of clinical pharmacist intervention can reduce the level of low-density lipoprotein and blood pressure of elderly patients with coronary heart disease,and at the same time effectively increase the METs and 6 MWD of the patients,enhance the exercise tolerance of the patient,and the effective prognosis of elderly patients with coronary heart disease is fully achieved.
作者 陈颖颖 CHEN Yingying(Lijin County Hu tan Central Hospital,Dongying Shandong,257449,China)
出处 《反射疗法与康复医学》 2020年第13期91-93,共3页 Reflexology And Rehabilitation Medicine
关键词 临床药师干预 老年冠心病 低密度脂蛋白水平 血压水平 METS 6MWD水平 Clinical pharmacist intervention Elderly coronary heart disease Low-density lipoprotein level Blood pressure level METs 6MWD level
作者简介 陈颖颖(1979-),女,山东东营人,本科,主管药师,研究方向:药剂学。
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