中国合理用药探索2024,Vol.21Issue(11) :7-11.DOI:10.3969/j.issn.2096-3327.2024.11.002

基于药物管理的咳喘药学门诊模式构建及效果评价

Construction of a Combined Cough and Asthma Pharmacy Clinics Service Mode Based on Medication Management and Evaluation of Its Effectiveness

魏立明 王睿 陈岩松 杨巨贵 周鑫 史克龙 徐凡翔 马玲 周素琴
中国合理用药探索2024,Vol.21Issue(11) :7-11.DOI:10.3969/j.issn.2096-3327.2024.11.002

基于药物管理的咳喘药学门诊模式构建及效果评价

Construction of a Combined Cough and Asthma Pharmacy Clinics Service Mode Based on Medication Management and Evaluation of Its Effectiveness

魏立明 1王睿 1陈岩松 1杨巨贵 1周鑫 2史克龙 2徐凡翔 1马玲 1周素琴1
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作者信息

  • 1. 兰州大学第二医院 药剂科,兰州 730030
  • 2. 兰州大学第二医院 信息中心,兰州 730030
  • 折叠

摘要

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.

Abstract

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.

关键词

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

Key words

pharmacy clinics/pharmaceutical care/chronic obstructive pulmonary disease/inhalation device/medication compliance

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出版年

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
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