多元化药学服务对支气管哮喘患儿用药依从性及病情控制的影响

The Influence of Diversified Pharmaceutical Services on Medication Compliance and Disease Control in Children with Bronchial Asthma

目的研究支气管哮喘患儿应用多元化药学服务对其用药依从性及病情控制的影响。方法选取2018年2月-2021年3月该院收治的113例支气管哮喘患儿为研究对象,按随机数字表法分为对照组(56例)、观察组(57例),两组采用相同治疗方案,在此基础上对照组行常规药学服务,观察组行多元化药学服务,对比两组服务满意度、用药依从性、病情控制情况及干预前后肺功能指标。结果干预后1个月、3个月及6个月用药总依从率比较,观察组(96.49%、92.98%、85.96%)均高于对照组(78.57%、71.43%、60.71%),差异有统计学意义(χ^(2)=8.356、9.009、9.236,P<0.05);干预后3个月、6个月病情控制良好率比较,观察组(92.98%、82.46%)均高于对照组(71.43%、57.14%),差异有统计学意义(χ^(2)=9.009、8.604,P<0.05);服务总满意率比较,观察组(94.74%)高于对照组(75.00%),差异有统计学意义(χ^(2)=8.609,P<0.05);与对照组比较,观察组干预后PEF、FEV1%水平均更高,差异有统计学意义(t=6.052、7.126,P<0.05)。结论支气管哮喘患儿应用多元化药学服务,可提高患儿依从性,有利于控制患儿病情,促进患儿肺功能改善,并提高服务满意度。

Objective To study the effect of diversified pharmaceutical services on children with bronchial asthma on their medication compliance and disease control. Methods 113 children with bronchial asthma admitted to the hospital from February 2018 to March 2021 were selected as the research objects. According to the random number table, they were divided into control group(56 cases) and observation group(57 cases). The two groups used the same treatment plan. On the basis, the control group received routine pharmaceutical services, and the observation group received diversified pharmaceutical services. The service satisfaction, medication compliance, disease control, and lung function indexes before and after intervention were compared between the two groups. Results Compared the total compliance rate of medication at 1 month, 3 months and 6 months after the intervention, the observation group(96.49%, 92.98%,85.96%) was higher than the control group(78.57%, 71.43%, 60.71%), the difference was statistically significant(χ^(2)=8.356, 9.009, 9.236, P<0.05). Compared the rate of good disease control at 3 months and 6 months after intervention,the observation group(92.98%, 82.46%) was higher than the control group(71.43%, 57.14%), and the difference was statistically significant(χ^(2)=9.009, 8.604, P <0.05). Compared the overall satisfaction rate of services, the observation group(94.74%) was higher than the control group(75.00%), and the difference was statistically significant(χ^(2)=8.609,P<0.05). Compared with the control group, the observation group had higher PEF and FEV1% levels after intervention,and the difference was statistically significant(t =6.052, 7.126, P <0.05). Conclusion The use of diversified pharmaceutical services for children with bronchial asthma can improve the compliance of the children, help control the children’s condition, promote the improvement of children’s lung function, and increase service satisfaction.