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Community Pharmacist-Provided Wellness and Monitoring Services in an Employee Wellness Program: A Four-Year Summary

机译:员工健康计划中由社区药剂师提供的健康和监控服务:四年总结

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摘要

>Objective: To assess the clinical outcomes of participants of an employee wellness program during four years of service implementation. >Methods: A prospective cohort study was conducted at 15 independent community pharmacy chain locations in northwest and central Missouri. A total of 200 participants were enrolled in an employee wellness program, and the program included five monitoring groups—cholesterol, blood pressure, blood glucose, weight, and healthy participant groups. Participants selected a pharmacist wellness coordinator and wellness appointments were conducted, consisting of education, goal-setting, and monitoring through physical assessment and point of care testing. The primary outcome measures were total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting blood glucose (FBG), body mass index (BMI), and waist circumference (WC). The secondary outcome measures were the proportion of patients who achieved the clinical value goals at baseline versus 48 months. The primary outcome measures among data collection time points were compared using one-way analysis of variance (ANOVA) tests, and the secondary outcomes were compared between baseline and 48 months by Chi-square or Fisher’s exact tests. One-way ANOVA post hoc tests were also performed using least significant difference, to further identify which time points differed from each other. >Results: At baseline, there were 134 patients in the cholesterol monitoring group, 129 in the weight monitoring group, 117 in the blood pressure monitoring group, 46 in the blood glucose monitoring group, and 26 in the healthy participant monitoring group. For patients in the blood pressure monitoring group, compared with baseline, there was a significant decrease in DBP at months 12, 24, 36, and 48, and a significant increase in the proportion of patients achieving blood pressure goals at 48 months. For patients in the blood glucose monitoring group, compared with baseline, there was a significant decrease in FBG at months 12, 24, 36, and 48, and a significant increase in the proportion of patients achieving blood glucose goals at 48 months. >Conclusions: Pharmacist-led wellness visits provided to employee wellness patients in a community pharmacy may lead to improvements in BP and FBG values.
机译:>目标:在实施服务的四年中评估员工健康计划参与者的临床结果。 >方法:前瞻性队列研究在密苏里州西北部和中部的15个独立社区药房连锁店进行。共有200名参与者参加了员工健康计划,该计划包括五个监测组-胆固醇,血压,血糖,体重和健康参与者组。参与者选择了一名药剂师健康协调员,并进行了健康任命,包括教育,目标设定和通过身体评估和现场护理测试的监控。主要结局指标为总胆固醇(TC),甘油三酸酯(TG),高密度脂蛋白胆固醇(HDL-C),低密度脂蛋白胆固醇(LDL-C),收缩压(SBP),舒张压(DBP) ),空腹血糖(FBG),体重指数(BMI)和腰围(WC)。次要结果指标是达到基线和48个月时达到临床价值目标的患者比例。使用单向方差分析(ANOVA)测试比较了数据收集时间点中的主要结果指标,并通过卡方检验或Fisher精确检验比较了基线和48个月之间的次要结果。还使用最小显着差异执行了单向ANOVA事后测试,以进一步确定哪些时间点彼此不同。 >结果:基线时,胆固醇监测组134例,体重监测组129例,血压监测组117例,血糖监测组46例,健康监测26例参与者监测组。对于血压监测组的患者,与基线相比,在第12、24、36和48个月时DBP显着降低,在48个月时达到血压目标的患者比例显着增加。对于血糖监测组的患者,与基线相比,在第12、24、36和48个月时FBG显着下降,在48个月时达到血糖目标的患者比例显着增加。 >结论:在社区药房中,由药剂师领导的员工健康探访可能会改善BP和FBG值。

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