首页|基于药物管理的咳喘药学门诊模式构建及效果评价

基于药物管理的咳喘药学门诊模式构建及效果评价

扫码查看
目的:探索构建咳喘药学门诊模式,并评价其患者管理成效.方法:收集并回顾性分析2023年2月1日~2024年6月30日于某院咳喘药学门诊就诊的304例慢性阻塞性肺疾病患者的相关资料,评价患者性别、年龄、吸烟史、饲养动物和职业暴露对疾病严重程度[慢性阻塞性肺疾病评估测试(CAT)评分、改良呼吸困难指数(mMRC)分级和《慢性阻塞性肺疾病全球倡议》(GOLD)分级]的影响,并比较患者在药学服务干预前后疾病控制情况(CAT评分)、吸入剂用药准确性(吸入装置使用评分)和用药依从性[8项Morisky用药依从性量表(MMAS-8)评分].结果:在患者性别、年龄、吸烟史、饲养动物和职业暴露等5项指标中,年龄对CAT评分和mMRC分级有显著影响(P<0.05),是否接触粉尘对mMRC分级与GOLD分级有显著影响(P<0.05).与干预前相比,干预后患者吸入装置使用评分和MMAS-8评分均有明显升高,CAT评分则降低(P<0.05).结论:咳喘药学门诊可为患者提供高效的药学服务,其工作模式具有可行性和可借鉴性.
Construction of a Combined Cough and Asthma Pharmacy Clinics Service Mode Based on Medication Management and Evaluation of Its Effectiveness
Objective:To explore the service model and application effectiveness of combined cough and asthma pharmacy clinics service.Methods:Relevant data of 304 patients with chronic obstructive pulmonary disease who were treated from 1 February 2023 to 30 June 2024 were collected and retrospectively analyzed.The effects of gender,age,smoking history,animal keeping and occupational exposure on the severity of the disease[chronic obstructive pulmonary disease assessment test (CAT) score,modified medical research council (mMRC) score and Global Initiative for Chronic Obstructive Lung Disease (GOLD) score]were evaluated.The disease control (CAT score),inhalant medication accuracy (inhaler use score) and medication compliance[Morisky medication adherence scale (MMAS-8) score]were compared before and after pharmacy service intervention.Results:Among the five indicators of sex,age,smoking history,animal keeping and occupational exposure,age had significant effects on CAT score and mMRC classification (P<0.05),and dust exposure had significant effects on mMRC classification and GOLD classification (P<0.05).After the intervention,the scores of inhalation device use and MMAS-8 were significantly higher than those before the intervention,while the CAT score was lower (P<0.05).Conclusion:The combined cough and asthma pharmacy clinics service can provide high-efficient pharmaceutical care for patients with a feasible and valuable working mode.

pharmacy clinicspharmaceutical carechronic obstructive pulmonary diseaseinhalation devicemedication compliance

魏立明、王睿、陈岩松、杨巨贵、周鑫、史克龙、徐凡翔、马玲、周素琴

展开 >

兰州大学第二医院 药剂科,兰州 730030

兰州大学第二医院 信息中心,兰州 730030

药学门诊 药学服务 慢性阻塞性肺疾病 吸入装置 用药依从性

2024

中国合理用药探索
中国执业药师协会

中国合理用药探索

影响因子:0.62
ISSN:2096-3327
年,卷(期):2024.21(11)