Casset A, Rebotier P, Lieutier-Colas F, Glasser N, Heitz C, Saigne J, Pauli G, de Blay F
Service de Pneumologie, Hôpitaux Universitaires de Strasbourg, 67091 Strasbourg Cedex, France.
Rev Mal Respir. 2004 Nov;21(5 Pt 1):925-33. doi: 10.1016/s0761-8425(04)71474-6.
The pharmacist plays an essential role in the management of the asthmatic patients on account of their frequent visits to the pharmacy to obtain their medication.
In order to evaluate the practice and knowledge of asthma among the pharmacists of the department of Bas-Rhin, 120 pharmacists were selected at random to reply to a standardised questionnaire.
The 86 pharmacists who replied to the questionnaire had a good general understanding of asthma and its treatment. However, only 26.4% knew all the criteria of the severity of an attack of asthma. Among the 57 pharmacists who gave a demonstration of the use of inhaler devices, 16.3% showed all the steps in the use of a metered dose aerosol. These results are comparable to those of non-specialist doctors and nurses in whom poor techniques were found in 63-100% and 65-96% respectively. The mean scores of the pharmacists were 10.5/12 (+/- 1.2) steps for metered dose aerosols, 10.4/11 (+/- 1.0) for the Tubuhaler, 9.3/12 (+/- 1.7) for the Autohaler and 8.1/9 (+/- 0.9) for the Volumatic spacer. The asthmatic patient's main expectation of the pharmacist concerned the use of the prescribed systems (87.2%), underlining the lack of information received by the patient at the time of prescription.
An improvement in the knowledge of the signs of severity of asthma and the use of inhaled devices could usefully be one of the objectives in the training of a dispensing pharmacist.
由于哮喘患者经常前往药房取药，药剂师在哮喘患者的管理中发挥着重要作用。
为了评估下莱茵省药剂师对哮喘的实践和知识掌握情况，随机挑选了120名药剂师回答一份标准化问卷。
回复问卷的86名药剂师对哮喘及其治疗有较好的总体了解。然而，只有26.4%的人知道哮喘发作严重程度的所有标准。在57名演示吸入装置使用方法的药剂师中，16.3%的人展示了定量气雾剂使用的所有步骤。这些结果与非专科医生和护士的结果相当，在非专科医生和护士中，分别有63 - 100%和65 - 96%的人技术欠佳。药剂师在定量气雾剂使用步骤的平均得分为10.5/12（±1.2），都保为10.4/11（±1.0），自动吸入器为9.3/12（±1.7），容积式储雾罐为8.1/9（±0.9）。哮喘患者对药剂师的主要期望涉及所开处方系统的使用（87.2%），这突出表明患者在开处方时所获信息不足。
提高对哮喘严重程度体征和吸入装置使用的认识，可有效地成为调配药剂师培训的目标之一。
