临床药师干预对慢性阻塞性肺疾病患者吸入剂使用技术和自我管理的影响

发布时间：2018-05-27 06:08

本文选题：慢性阻塞性肺疾病 + 临床药师　；参考：《中国临床药理学杂志》2016年17期

【摘要】：目的观察临床药师开展慢性阻塞性肺疾病(COPD)患者药学服务的效果。方法将33例COPD住院患者随机分为对照组16例和试验组17例。对照组由医师及护士进行常规医疗服务;试验组在对照组的基础上,接受临床药师关于吸入剂使用的指导和COPD患者教育。用患者吸入剂使用技术评估方法对其实际操作步骤进行打分,用问卷形式对COPD患者教育的效果进行评估。比较2组患者的吸入剂使用操作得分和COPD问卷得分的差异。结果干预前和干预后,试验组的吸入剂使用操作得分分别为(8.56±1.45),(9.93±0.27)分;COPD问卷得分分别为(10.85±3.11),(15.15±1.28)分,差异有统计学意义(P0.01)。出院时,试验组和对照组的吸入剂使用操作得分分别为(9.93±0.27),(8.79±1.32)分;COPD问卷得分分别为(15.15±1.28),(12.06±2.18)分,差异有统计学意义(P0.01)。结论临床药师对COPD患者开展药学服务可以提高患者的吸入剂使用技术,提高患者对COPD疾病的综合认知程度,有助于提高患者的自我管理水平。
[Abstract]:Objective to observe the effect of pharmacological care for patients with chronic obstructive pulmonary disease (COPD). Methods 33 inpatients with COPD were randomly divided into control group (n = 16) and trial group (n = 17). The control group was provided with routine medical services by doctors and nurses, and the experimental group received guidance from clinical pharmacists on the use of inhalants and education of COPD patients on the basis of the control group. The technique evaluation method was used to evaluate the effect of COPD patients' education. The scores of inhaler use and COPD questionnaire were compared between the two groups. Results before and after intervention, the scores of inhaler use in the test group were 8.56 卤1.45, 9.93 卤0.27) and the scores of COPD questionnaire were 10.85 卤3.11 and 15.15 卤1.28, respectively. The difference was statistically significant (P 0.01). At discharge, the scores of inhaler use in the test group and the control group were 9.93 卤0.27, 8.79 卤1.32) and the scores of COPD questionnaire were 15.15 卤1.28 and 12.06 卤2.18, respectively. The difference was statistically significant (P 0.01). Conclusion Pharmacological care provided by clinical pharmacists to patients with COPD can improve the use of inhalers, improve their comprehensive cognition of COPD diseases, and improve their self-management.
【作者单位】：北京大学第一医院药剂科;北京大学第一医院呼吸科;
【基金】：临床药学学科国家临床重点专科建设基金资助项目
【分类号】：R473.5

【相似文献】