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首页> 外文期刊>Journal of the American Pharmacists Association: JAPhA >Community pharmacy Target Intervention Program to improve aspirin use in persons with diabetes.
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Community pharmacy Target Intervention Program to improve aspirin use in persons with diabetes.

机译：社区药房目标干预计划，旨在改善糖尿病患者中阿司匹林的使用。

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OBJECTIVE: To identify the rate of aspirin or antiplatelet/anticoagulant use in persons with diabetes presenting to community pharmacies and determine whether a student pharmacist-driven Target Intervention Program (TIP) could increase the number of eligible persons with diabetes receiving aspirin therapy in accordance with American Diabetes Association (ADA) recommendations. DESIGN: Unblinded, single intervention. SETTING: Eight Community Pharmacy Advanced Practice Experience (CPAPE) sites in New York State. PARTICIPANTS: Persons having prescriptions filled for diabetes medications or supplies who were not receiving antiplatelet/anticoagulant medications. INTERVENTIONS: Assessment sheets were completed by student pharmacists for eligible patients to determine appropriateness for aspirin therapy. Recommendations for aspirin therapy were faxed to physicians when indicated, and physicians responded via fax for aspirin therapy implementation. The student pharmacists contacted patients, informed patients of physician decisions, and provided appropriate counseling. MAIN OUTCOME MEASURES: Number of persons with diabetes currently receiving aspirin or antiplatelet/anticoagulant medications and the number initiated on aspirin as a result of the TIP. RESULTS: A total of 436 persons with diabetes were identified. Of those contacted, 322 agreed to participate and 31 declined; 228 were taking aspirin or other antiplatelet/anticoagulant agents at baseline. Students completed assessment sheets, which were forwarded to physicians, for 79 subjects potentially eligible to receive aspirin therapy; 65 physician responses were received (82% response rate). Aspirin therapy was initiated in 53 patients (67%). CONCLUSION: The TIP enabled CPAPE students to increase aspirin use among eligible persons with diabetes in accordance with ADA guidelines.
机译：目的：确定向社区药房求诊的糖尿病患者中阿司匹林或抗血小板/抗凝剂的使用率，并确定由药剂师主导的目标干预计划（TIP）是否可以增加符合条件的接受阿司匹林治疗的合格糖尿病患者的数量美国糖尿病协会（ADA）的建议。设计：单盲，单盲。地点：纽约州的八个社区药房高级实践经验（CPAPE）站点。参加者：那些未接受抗血小板/抗凝药物治疗且装有糖尿病药物或药物的处方的人。干预措施：由学生药剂师为合格患者填写评估表，以确定阿司匹林治疗的适当性。如有指示，将对阿司匹林治疗的建议传真给医生，医生通过传真答复实施阿司匹林治疗的情况。学生药剂师联系患者，告知患者医师的决定，并提供适当的咨询。主要观察指标：目前接受阿司匹林或抗血小板/抗凝药物治疗的糖尿病患者人数，以及由于TIP而开始接受阿司匹林治疗的人数。结果：总共鉴定出436名糖尿病患者。在接触的人中，有322人同意参加，有31人拒绝参加。 228名在基线时服用阿司匹林或其他抗血小板/抗凝剂。学生完成了79份可能有接受阿司匹林治疗的受试者的评估表，并转发给医生。收到65位医师回复（82％回复率）。 53例患者（67％）开始使用阿司匹林治疗。结论：根据ADA指南，TIP使CPAPE学生能够在符合条件的糖尿病患者中增加阿司匹林的使用。

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