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社区药剂师在哮喘护理中的干预措施:一项描述性研究。

Community pharmacists' interventions in asthma care: a descriptive study.

机构信息

Pharmacie Yves Pichette, Montréal, Québec, Canada.

出版信息

Ann Pharmacother. 2009 Jan;43(1):104-11. doi: 10.1345/aph.1L308. Epub 2008 Dec 23.

Abstract

BACKGROUND

Factors influencing community pharmacists' interventions have been identified, but little information is available regarding these factors in asthma care.

OBJECTIVE

To describe the type and frequency of pharmacists' asthma care interventions and to identify factors influencing those interventions.

METHODS

A pretested, self-administered questionnaire was mailed to all community pharmacists registered with the Ordre des pharmaciens du Québec in 2006. The form included questions about the pharmacists' interventions in asthma care in the community setting (21 questions), factors influencing the provision of those interventions (13 questions), and the responders' characteristics (17 questions).

RESULTS

A total of 4587 questionnaires were sent; 917 pharmacists returned the questionnaires (response rate 20%), and 877 were eligible for analysis. Overall, community pharmacists who completed the questionnaire appeared to intervene frequently when the initial prescription for asthma medication was filled. About 98% of responders reported providing verbal information always or often on new asthma medication prescriptions. Furthermore, checking for overuse of rescue medication and underuse of maintenance therapy always or often was reported by 91% and 85.8% of responders, respectively. Other interventions at follow-up were not as frequently reported. For example, only 8.4% of pharmacists reported reassessing inhalation technique always or often. Lack of time was reported to be an important barrier to the type and frequency of intervention, while interest on the part of the patient appeared to be a significant facilitator. About 99% of pharmacists agreed with the statement that they have an important role in asthma care.

CONCLUSIONS

Community pharmacists appear to intervene with patients with asthma mostly at the initiation of treatment, but some interventions at follow-up are not frequently done, which could be attributed to organizational factors.

摘要

背景

已经确定了影响社区药剂师干预的因素,但关于哮喘护理中这些因素的信息很少。

目的

描述药剂师在社区哮喘护理中的干预类型和频率,并确定影响这些干预的因素。

方法

2006 年,向所有在魁北克药剂师协会注册的社区药剂师邮寄了一份经过预测试的自我管理问卷。该表格包括社区环境中哮喘护理药剂师干预(21 个问题)、影响提供这些干预措施的因素(13 个问题)和回答者特征(17 个问题)。

结果

共发送了 4587 份问卷;917 名药剂师返回了问卷(回复率 20%),877 名符合分析条件。总的来说,填写问卷的社区药剂师在开具哮喘药物初始处方时似乎经常进行干预。约 98%的回答者报告说,他们总是或经常提供关于新哮喘药物处方的口头信息。此外,91%和 85.8%的回答者分别报告说,他们总是或经常检查过量使用急救药物和不足使用维持疗法。在后续随访中,其他干预措施的报告频率并不高。例如,只有 8.4%的药剂师报告说他们总是或经常重新评估吸入技术。缺乏时间被报告为干预类型和频率的重要障碍,而患者的兴趣似乎是一个重要的促进因素。约 99%的药剂师同意他们在哮喘护理中扮演重要角色的说法。

结论

社区药剂师似乎主要在治疗开始时与哮喘患者进行干预,但一些后续干预措施并不经常进行,这可能归因于组织因素。

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