摘要
目的调查呼吸科门诊患者吸入制剂使用的用药依从性及影响因素。方法在上海交通大学医学院附属仁济医院呼吸科设立吸入制剂用药指导咨询室,临床药师结合药品说明书和现有相关指南对2017年4-10月124例患者进行吸入制剂用药指导,6个月后对患者依从性进行电话随访问卷调查。结果共调查108例患者的依从性,其中高依从性患者29例,中依从性59例,低依从性20例,多因素分析显示合并基础疾病、使用装置、性别、急性加重次数是依从性的影响因素(P<0.05),且噻托溴铵粉吸入剂装置使用的依从性更高。结论合并基础疾病、使用装置、性别、急性加重次数影响呼吸科门诊患者吸入制剂使用的依从性。
Objective To investigate the influence factors on the compliance of inhalation agents used in outpatients of respiratory department. Methods Consultation room in respiratory department of Renji Hospital was set up for medication guidance.According to drug instructions and the relevant guidelines, clinical pharmacists carried out consultation for the 124 outpatients from April 2017 to November 2017, and the factors associated with compliance to inhaled medications among the outpatients after 6 months were investigated. Results Among the 108 patients, 29 patients showed high compliance, and 59 patients showed medium compliance with 20 patients of low compliance.On the basis of multivariate analysis, complication with comorbid conditions, inhalation devices, gender and times of acute exacerbation were the influencing factors of compliance(P<0.05), and the compliance of tiotropium bromide powder inhalation device was higher. Conclusion Comorbid conditions, inhalation devices, gender and times of acute exacerbations affected compliances with inhaled medications among outpatients.
作者
陈海莉
钟晗
崔敏
乐可佳
赵旭霁
CHEN Haili;ZHONG Han;CUI Min;LE Kejia;ZHAO Xuji(Department of Pharmacy,the 83th Hospital PLA,Xinxiang 453000.China;Department of Pharmacy,Renji Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200127,China;Department of Respiratory,Renji Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200127,China)
出处
《医药导报》
CAS
北大核心
2019年第12期1661-1664,共4页
Herald of Medicine
基金
上海交通大学医学院医院药学科研基金青年项目(JDYX2016QN004)
关键词
吸入制剂
依从性
影响因素
门诊患者
Inhalers
Compliance
Influence factors
Outopatient patient
