ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-01-068 心脑血管疾病与治疗 2026, (01)

市属医院高血压药物治疗管理路径标准化建设的成效分析

首都医科大学附属北京安贞医院 2.首都医科大学药学院

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摘要

摘要:目的 探讨北京市属医院临床药师通过高血压药物治疗管理路径标准化建设开展药学服务的成效。方法 共纳入高血压患者 193 例,随机分为对照组和干预组,干预组 98 人,对照组 95 人,研究周期为 3 个月。临床药师为干预组患者行基于“路径”的标准化药学服务,对照组患者,行常规治疗,仅评估患者、采集相应信息,在第 3 个月行必要的干预措施。观察指标包括血压水平、用药依从性、药物治疗问题及生活方式等综合管理 指标。结果 两组患者基线特征相似,差异无统计学意义(P>0.05)。完成 3 个月的随访后,干预组用药依从性、 血压和生活方式较对照组明显改善,差异有统计学意义(P<0.05)。结论 在市属医院范围内通过高血压药物治 疗管理路径标准化建设开展的药学服务有效改善了患者的血压情况,提高患者血压达标率及依从性。

Abstract

Abstract: Objective To explore the effectiveness of clinical pharmacists in Beijing municipal hospitals in developing pharmaceutical care through the standardization of hypertension medication therapy management pathway. Methods A total of 193 patients with hypertension were randomly divided into a control group (95 cases) and an intervention group (98 cases), and the study period was 3 months. Clinical pharmacists provided standardized pharmaceutical services based on the “pathway” for patients in the intervention group, while patients in the control group received routine clinical management— only patient assessment, information collection, and necessary interventions at the 3rd month. The observation indicators included comprehensive management indicators such as blood pressure, medication adherence, drug therapy-related problems, and lifestyle. Results The baseline characteristics of the two groups were similar (P>0.05). After three months’ follow-up, the medication compliance, blood pressure and lifestyle of the intervention group were significantly improved compared with those of the control group (P<0.05). Conclusion Pharmacy services carried out through the standardization of hypertension medication therapy management pathway within municipal hospitals have effectively improved patients’ blood pressure profiles and increased the rate of compliance and adherence to blood pressure standards

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[1]吴峰,魏娟娟,石秀锦,等.市属医院高血压药物治疗管理路径标准化建设的成效分析[J],2026,01(01):.