药师主导的干预对哮喘和COPD患者掌握吸入技术的影响

Effect of Pharmacist-led Intervention on Mastery of Inhalation Technique for Patients with Asthma and COPD

目的调查药师主导的干预对哮喘和慢性阻塞性肺疾病(COPD)患者掌握吸入技术的的影响。方法药师采用吸入技术评估表格对患者吸入技术进行评估,比较药师干预前后患者对吸入技术的掌握情况,了解药师对患者吸入技术的干预效果。结果经药师干预后,患者对不同装置使用错误的条目数显著降低。都保装置(信必可都保)由干预前人均错误3.22条降为0.65条,干粉装置(噻托溴铵)由人均错误3.20条下降为0.56条,均差异有统计学意义。结论哮喘和COPD患者对吸入技术掌握情况较差,药师干预对患者正确掌握吸入装置使用有明显效果,药师主导的吸入技术评估教育对哮喘和COPD患者有必要。

Objective To investigate the influence of pharmacist-led intervention on the mastery of inhalation techniques for patients with asthma/COPD. Methods The inhalation technique assessment form was used to assess the patient mastery of inhalation technique.The patient mastery of inhalation technique after the pharmacist’s face to face intervention was compared to find the effect of pharmacist intervention on inhalation techniques. Results With pharmacist intervention, the frequency of patient making mistakes in using different devices was significantly decreased.The frequency of making mistakes in using Symbicort Turbuhaler and HandiHaler for each patient decreased from 3.22 to 0.65, and from 3.20 to 0.56, respectively. Conclusion The patients with asthma and COPD poorly mastered inhalation technique.Pharmacists intervention has definite effect on the correct use of inhalation device.It is necessary for pharmacists to evaluate the mastery of inhalation technique for patients with asthma/COPD.