药师指导患者使用吸入剂装置的效果分析

发布时间：2019-08-06 20:20

【摘要】：目的:探索药师开展患者吸入剂使用指导的方法,分析三级综合医院和县级二级医院药师指导患者使用吸入剂装置的效果。方法:收集北京大学第一医院呼吸科门诊首次使用吸入剂的患者122例和北京大学第一医院—密云医院正在使用且既往用过吸入剂的患者39例,由药师开展患者吸入剂使用指导并对指导效果进行评估。结果:北京大学第一医院呼吸科门诊患者药师指导1次后吸入剂使用评分平均为(9.21±0.96)分;北京大学第一医院—密云医院呼吸科门诊患者药师指导前吸入剂使用评分为(6.92±1.42)分,指导后评分(9.82±0.51)分,指导前后评分有统计学差异(P0.001)。年龄和文化程度显著影响患者吸入剂使用的技术,患者容易出现的错误集中在装置上药、吸入药物前的呼吸调整以及吸入药品的环节。结论:药师开展患者吸入剂使用指导十分必要,经过培训的县级医院药师可以很好地开展吸入剂指导工作。
[Abstract]:Objective: to explore the method of pharmacists to guide the use of inhalants in patients, and to analyze the effect of pharmacists guiding patients to use inhalant devices in tertiary general hospitals and county-level hospitals. Methods: 122 patients who used inhalants for the first time in the respiratory clinic of Peking University first Hospital and 39 patients who had used inhalants in Miyun Hospital, the first Hospital of Peking University, were collected. The guidance for the use of inhalants was carried out by pharmacists and the effect of the guidance was evaluated. Results: the average score of inhalant use was (9.21 卤0.96) in the respiratory department of the first Hospital of Peking University, and (6.92 卤1.42) in the respiratory department of the first Hospital of Peking University, and (9.82 卤0.51) in the respiratory department of the first Hospital of Peking University. There was significant difference in the score before and after the guidance (P0.001), and the score of inhalant was (9.82 卤0.51) in the respiratory department of the first Hospital of Peking University, and the score of inhalant was (9.21 卤0.96) in the respiratory department of the first Hospital of Peking University. Age and educational level significantly affect the technology of inhaling agents in patients. The errors that patients tend to make are concentrated on the device, respiratory adjustment before inhaling drugs, and the link of inhaling drugs. Conclusion: it is necessary for pharmacists to carry out the guidance of inhalant use, and the trained pharmacists in county-level hospitals can carry out the guidance of inhalant very well.
【作者单位】：北京大学第一医院药剂科;北京大学第一医院-密云医院药剂科;北京大学药学院药事管理与临床药学系;北京大学第一医院呼吸科;
【基金】：临床药学科国家临床重点专科建设项目
【分类号】：R95

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