摘要
目的探讨药师进行吸入剂用药宣教及干预对患者吸入剂依从性和肺功能的改善,评估科普干预效果,进而优化科普干预的方案、方法和资源。方法选择2021年1—12月某院呼吸科使用布地奈德福莫特罗粉吸入剂的COPD住院患者(30岁≤年龄≤75岁)50例作为研究对象,随机分为对照组和实验组两组,每组各25例。对照组不进行用药宣教及干预,实验组给予用药宣教及干预,分别在入院时、出院时、出院1个月、出院3个月对每例患者进行用药依从性评价及登记患者剩余药物剂量、购药情况等信息,再收集患者此时间段的肺功能检查结果。结果实验组和对照组在患者年龄、性别、文化程度、职业、医保情况都无差异(P>0.05);患者入院时布地奈德福莫特罗粉吸入剂使用方法评分4~8分不等,没有满分10分,用χ^(2)检验方法分析有差异、用非参数两独立样本K检验方法分析无差异;出院时、出院1个月、出院3个月实验组布地奈德福莫特罗粉吸入剂使用方法评分均为满分10分,而对照组地奈德福莫特罗粉吸入剂使用方法评分仍为入院时的4~8分不等,两组间有差异;出院时实验组实际药量与计划剩余药量差值为0,对照组实际药量与计划剩余药量差值多为-5,个别为0,出院时患者实际药量与计划剩余药量差值两组间有差异,出院1个月、出院3个月实验组实际药量与计划剩余药量差值为0,而对照组实际药量与计划剩余药量差值多为-20、-10,个别为0,患者实际药量与计划剩余药量差值用χ2检验方法分析有差异、用非参数两独立样本K检验方法分析无差异。肺功能数据收集不完整。结论在呼吸内科,药师对COPD患者进行吸入剂用药指导,可以提高患者的用药正确性和依从性。
Objective To explore the improvement of inhalants compliance and respiratory function of patients after health education on inhalants medication and intervention that conducted by pharmacists,and assess the effect of science popularization to optimize the scheme,method,and resources of it.Methods 50 hospitalized COPD patients(aged between 30 years and 75 years,involving 30 and 75 years old)in respiratory department of a hospital during January and December 2021 and accepting the treatment of budeseide formoterol powder inhalant were selected as study objects;they were randomly divided into the control group and experimental group,with 25 patients in each group.Medication education and intervention adopted in the experimental group,and didn't applied in the control group.Medication compliance evaluation conducted at the time points of admission,discharge,1 month after discharge,and 3 months after discharge,and record dose of drug residue and drug purchase,and then collected the lung function examination results of this period.Results There were no statistical difference between the experimental group and the control group in their age,gender,educational level,occupation,and medical insurance.At admission,the scores of method of budeseide formoterol powder inhalant application ranged from 4 to 8,and 10 score did not present.In addition,the result of the chi-square test method was statistically different,and there was no significant difference according to the K-test method of non-parametric two independent samples.All the scores of method of budeseide formoterol powder inhalant application in the experimental group reached 10 at time points of discharge,1 month and 3 months after discharge.However,it was still ranged from 4 to 8 in the control group.The differences between the two groups were statistically significant.At discharge,the difference between the actual drug dose and the planned remaining drug dose in the experimental group was 0,while the difference between the actual drug dose and the planned remaining
作者
佟春香
蒋娟
朱海英
陈娴
郝恺帝
刘琳
Tong Chunxiang;Jiang Juan;Zhu Haiying;Chen Xian;Hao Kaidi;Liu Lin(Xiamen Susong Hospital,Xiamen,Fujian 361000,China;Xiamen Humanity Hospital Affiliated to Fujian Medical University,Xiamen,Fujian 361000,China)
出处
《齐齐哈尔医学院学报》
2024年第2期158-161,共4页
Journal of Qiqihar Medical University
关键词
药师科普
COPD
吸入剂
依从性
Pharmacist science popularization
COPD
Inhalants
Compliance
