首页|关于提高慢性气道疾病患者吸入制剂用药依从性的实践与探索

关于提高慢性气道疾病患者吸入制剂用药依从性的实践与探索

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目的:探讨慢性气道疾病患者出院后使用吸入制剂依从性的影响因素及回访周期优化,探索提高患者用药依从性的方法。方法:收集秦皇岛市第一医院呼吸与危重症医学科2019年6月至2021年6月出院的医嘱长期使用吸入制剂的慢性气道疾病患者信息,通过调查问卷考察患者出院后2周、1个月、2个月、6个月、12个月、18个月使用吸入制剂依从性情况。结果:该研究纳入患者整体依从性较差,logistic回归分析显示文化程度低、无法正确操作装置、同时使用吸入制剂数量多是依从性差的危险因素,事后多重比较分析显示,临床药师分别于患者出院后2周、1个月、2个月、6个月、12个月、18个月持续电话随访可逐步提高用药依从性,12个月和18个月两组间依从性得分相似,可将随访至出院后12个月作为一个回访周期。结论:随访12个月可有效提高患者用药依从性,临床药师在随访过程中应重点关注涉及危险因素人群,加强此类患者的用药教育、用药提醒。
Investigation and exploration on the improvement of compliance of inhaled preparations in patients with chronic airway diseases
OBJECTIVE To explore the influencing factors of the compliance of patients with chronic airway disease with inhaled preparations after discharge and the optimization of the return visit period,and explore the methods to improve the compli-ance of patients with medication.METHODS Collect the information of patients with chronic airway diseases who were dis-charged from the Department of Respiratory and Critical Care Medicine of The First Hospital of Qinhuangdao from June 2019 to June 2021,and investigate the compliance of patients with inhalation preparations in two weeks,one month,two months,six months,twelve months,and eighteen months after discharge through questionnaires.RESULTS The overall compliance of patients included in this study was poor.Logistic regression analysis showed that low educational level,inability to operate the device correctly,and the use of a large number of inhaled preparations at the same time are risk factors for poor compliance.Post hoc multiple comparative analysis showed that continuous telephone follow-up by clinical pharmacists at two weeks,one month,two months,six months,twelve months,and eighteen months after discharge can gradually improve medication compliance,The compliance scores between the twelve months and eighteen months groups are similar,and follow-up to twelve months after dis-charge can be used as a follow-up period.CONCLUSION Twelve months of follow-up can effectively improve patients'medica-tion compliance.Clinical pharmacists focus on the population involved in risk factors during the follow-up process,and strengthen medication education and reminders for such patients.

inhalation preparationdrug complianceinfluence factorreturn visit cyclemode of medication education

于小杰、杨文明、赵艳敏、张伟威、王娜

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秦皇岛市第一医院药学部,河北秦皇岛 066000

吸入制剂 用药依从性 影响因素 回访周期 用药教育方式

秦皇岛市科学技术研究与发展计划项目

201902A210

2024

中国医院药学杂志
中国药学会

中国医院药学杂志

CSTPCD北大核心
影响因子:1.198
ISSN:1001-5213
年,卷(期):2024.44(2)
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