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临床药师主导的T2DM患者全周期管理模式构建
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| 篇名： | 临床药师主导的T2DM患者全周期管理模式构建 |
| TITLE： | Construction of a full-cycle management model for T2DM patients led by clinical pharmacists |
| 摘要： | 目的 构建临床药师主导的2型糖尿病（T2DM）患者全周期管理模式。方法基于文献分析，初步构建临床药师主导的T2DM患者全周期管理模式的基本框架与条目；采用德尔菲法向26名专家进行函询，确定该模式的具体实施条目；运用层次分析（AHP）法确定各级条目的权重，并对模式条目进行信效度分析。结果两轮专家函询的问卷回收率分别为86.67%、100%，专家权威系数为0.88；三级条目的肯德尔协调系数分别为0.064、0.084（χ2检验的P值均小于0.05）；AHP模型各层级判断矩阵的一致性比率均小于0.1。所建临床药师主导的T2DM患者全周期管理模式包含3个一级条目（T2DM患者住院期间的药学服务路径、T2DM住院患者的低血糖药学管理路径、T2DM出院患者的药学随访路径，权重分别为0.098、0.568、0.334）、12个二级条目（住院1～2d的药学服务、入院评估及宣教等，权重为0.143～0.333）和37个三级条目（依从性评估、核查出院带药方案等，权重为0.068～0.750）。该模式上述一级条目及总体的Cronbach’sα系数分别为0.762、0.879、0.928、0.951，条目水平、量表水平的内容效度指数分别为0.967、0.808。结论成功构建了临床药师主导的T2DM患者全周期管理模式，该模式具有较高的科学性与可靠性。 |
| ABSTRACT： | OBJECTIVE To establish a full-cycle management model for type 2 diabetes mellitus （T2DM） patients led by clinical pharmacists. METHODS Based on literature research， a basic framework and items of full-cycle management model led by clinical pharmacists were initially formulated. The Delphi method was adopted to conduct questionnaire inquiries among 26 experts to determine the specific implementation items of the model. The analytic hierarchy process （AHP） method was used to determine the weight values of items at all levels， and the reliability and validity of the model items were analyzed. RESULTS The recovery rates of the two rounds of expert consultation questionnaires were 86.67% and 100%， respectively， and the expert authority coefficient was 0.88. Kendall’s concordance coefficients of the tertiary-level items were 0.064 and 0.084， respectively， and the P values from the χ 2 tests were all less than 0.05； the consistent ratios of the judgment matrices for all levels of AHP model were all less than 0.1. The established full-cycle management led by clinical pharmacists comprised three primary-level items （pharmacy service pathway for T2DM patients during hospitalization， pharmacy management pathway for hypoglycemia in T2DM inpatients， and the pharmacy follow-up pathway for T2DM discharged patients， with weights of 0.098， 0.568 and 0.334， respectively）， twelve secondary-level items （e.g. pharmaceutical care during hospitalization for 1 to 2 days， admission assessment and education， with weights ranging from 0.143 to 0.333） and thirty-seven tertiary-level items （e.g. assessment of medication compliance， verification of the medication plan for discharge， with weights ranging from 0.068 to 0.750）. Cronbach’s α coefficients for primary-level items and the overall questionnaire were 0.762， 0.879， 0.928 and 0.951， respectively. The item-level and scale-level content validity indexes were 0.967 and 0.808， respectively. CONCLUSIONS A full-cycle management model for T2DM patients led by clinical pharmacists has been constructed successfully， demonstrating high scientificity and reliability. |
| 期刊： | 2026年第37卷第01期 |
| 作者： | 蒋媛媛；郑桂梅；曹耀华；谢泽宇；曹伟灵 |
| AUTHORS： | JIANG Yuanyuan，ZHENG Guimei，CAO Yaohua，XIE Zeyu，CAO Weiling |
| 关键字： | 临床药师；2型糖尿病；全周期管理模式；德尔菲法；层次分析法 |
| KEYWORDS： | clinical pharmacist； type 2 diabetes mellitus； |
| 阅读数： | 86 次 |
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