Gemicioglu Bilun, Borekci Sermin, Can Gunay
Department of Pulmonary Diseases, Cerrahpasa Faculty of Medicine, Istanbul University , Istanbul , Turkey and.
J Asthma. 2014 Nov;51(9):982-8. doi: 10.3109/02770903.2014.928310. Epub 2014 Jun 10.
Effective management of asthma requires the development of a partnership between the patient and his or her health care professionals. In a number of countries, including Turkey, pharmacy workers are the last link in the asthma therapy chain and usually give information to their patients about the use of these drugs and asthma. As a result, we investigated knowledge of asthma and the use of inhaler devices in pharmacy workers in Istanbul pharmacies.
The study was performed with 266 pharmacists and 261 pharmacist assistants selected from 4221 pharmacies in Istanbul by random sampling, with a 90% confidence interval. Each patient was asked to fill out a questionnaire that measured their knowledge of asthma. They were also asked to demonstrate how to use the inhaler devices.
The high number of incorrect answers to the 11th question, that ''the majority of upper respiratory tract infections triggering asthma are viral'', may be a contributor to the unnecessary use of antibiotics in Turkey (incorrect answers from 41.2% of pharmacists and 34.5% of pharmacist assistants). Scores for inhalation device techniques for the pharmacists were as follows: metered-dose inhaler (MDI), 4.9 ± 3.9; discus, 4.4 ± 3.7; aerolizer, 4 ± 3.1; and turbuhaler, 3.8 ± 2.9.
Istanbul pharmacy workers have limited knowledge about asthma and inhaler devices and need further education, which may contribute to improved asthma control in Turkey.
有效管理哮喘需要患者与其医护专业人员建立合作关系。在包括土耳其在内的许多国家，药剂师是哮喘治疗链中的最后一环，通常会向患者提供有关这些药物使用及哮喘的信息。因此，我们调查了伊斯坦布尔各药房药剂师对哮喘的了解情况以及吸入装置的使用情况。
通过随机抽样，从伊斯坦布尔的4221家药房中选取了266名药剂师和261名药剂师助理进行研究，置信区间为90%。每位参与者都被要求填写一份问卷，以评估他们对哮喘的了解程度。他们还被要求演示如何使用吸入装置。
对于第11个问题“引发哮喘的大多数上呼吸道感染是由病毒引起的”，有大量错误答案，这可能是土耳其不必要使用抗生素的一个原因（41.2%的药剂师和34.5%的药剂师助理回答错误）。药剂师在吸入装置技术方面的得分如下：定量吸入器（MDI），4.9±3.9；都保，4.4±3.7；雾化器，4±3.1；准纳器，3.8±2.9。
伊斯坦布尔的药房工作人员对哮喘和吸入装置的了解有限，需要进一步培训，这可能有助于改善土耳其的哮喘控制情况。
