摘要
目的探索医师-药师联合门诊模式对哮喘患者慢病管理的成效。方法临床药师协同临床医师制订哮喘治疗方案。临床药师向患者宣教哮喘基本知识、吸入给药装置使用方法、自我管理和评估方法,定期电话随访,预约复诊时间。比较干预前、后患者用药依从性及哮喘控制情况。结果与干预前比较,干预后定期复诊患者的ACT评分、PEF值、依从性评分、吸入给药装置使用评分显著升高,差异有统计学意义(P<0.05);不良反应发生率明显降低。结论医师-药师联合门诊的药学服务模式可以显著提高患者的用药依从性,改善哮喘控制情况,减少不良反应发生。对于患者流失问题,我们提出系列改进措施,进一步完善管理模式。
Objective To evaluate the effect of joint outpatient care on chronic disease management of asthma patients by both adopt physician and pharmacists.Methods Clinical pharmacist sand clinicians developed the asthma treatment plan together.Asthma patients received pharmaceutical care,including the basic knowledge of asthma,correct use of inhalers,self-management and evaluation,follow-up on asthma control by telephone,and helping asthma patients make appointments.Compliance of using apparatus(MMAS-8 score)and asthma control efficacy were compared before the intervention and 6 months after enrollment.Results After the 6 month intervention,the ACT score,inhaled device score,MMAS-8 score and PEF of the patients who were regularly reviewed were increased,with statistical significance(P<0.05).The ADR occurrence was obviously reduced.Conclusion Chronic disease management of asthma patients with physician and pharmacist joint outpatient care mode helps improve medication compliance and asthma control efficacy,and reduce ADR.Improvements should be made on the non-follow-up patients.
作者
李静
李静婷
姚伟珉
周浩
蔡永桥
王旋
LI Jing;LI Jing-ting;YAO Wei-min;ZHOU Hao;CAI Yong-qiao;WANG Xuan(People's Hospital of Putuo District,Shanghai 200060)
出处
《中南药学》
CAS
2020年第1期158-162,共5页
Central South Pharmacy
基金
上海医院药学科研项目(No.2018-YY-19)
关键词
哮喘
慢病管理
联合门诊
药学服务模式
asthma
chronic disease management
joint clinic
pharmaceutical care mode
