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药房哮喘服务使患者的反应从提高认识转变为对自身哮喘负责。

A pharmacy asthma service achieves a change in patient responses from increased awareness to taking responsibility for their asthma.

作者信息

Naik-Panvelkar Pradnya, Saini Bandana, LeMay Kate S, Emmerton Lynne M, Stewart Kay, Burton Deborah L, Bosnic-Anticevich Sinthia Z, Krass Ines, Smith Lorraine D, Armour Carol L

机构信息

The Woolcock Institute of Medical Research, The University of Sydney, Sydney, NSW, Australia.

出版信息

Int J Pharm Pract. 2015 Jun;23(3):182-91. doi: 10.1111/ijpp.12134. Epub 2014 Jul 4.

Abstract

OBJECTIVES

If novel health services are to be implemented and sustained in practice, the perceptions and views of patients form a critical part of their evaluation. The aims of this study were to explore patient's perceptions and experiences with a pharmacy asthma service and to investigate if there was a change over time.

METHODS

Interviews and focus groups were conducted with patients participating in the asthma service at three time points. Data were transcribed verbatim and thematically analyzed using a framework approach.

KEY FINDINGS

The service led to an enhanced awareness and understanding of asthma, changes in participants' beliefs and attitudes towards asthma management, changes in asthma-related health behaviours and improved self-efficacy. Participants were very positive about the service and the role of the pharmacist in asthma management. There was a shift in participant perceptions and views, from being at an abstract level in those who had completed just one visit of the service to a more experiential level in those who had experienced the entire comprehensive asthma service.

CONCLUSIONS

A sustained experience/multiple visits in a service may lead to more concrete changes in patient perceptions of severity, beliefs, health behaviours and enhanced self-efficacy and control. The study highlights a need for such asthma services in the community.

摘要

目的

若要在实践中实施并持续开展新型健康服务,患者的看法和观点是其评估的关键部分。本研究的目的是探究患者对药房哮喘服务的看法和体验,并调查其是否随时间变化。

方法

在三个时间点对参与哮喘服务的患者进行访谈和焦点小组讨论。数据逐字转录,并采用框架法进行主题分析。

主要发现

该服务提高了对哮喘的认识和理解,改变了参与者对哮喘管理的信念和态度,改变了与哮喘相关的健康行为,并提高了自我效能感。参与者对该服务以及药剂师在哮喘管理中的作用非常满意。参与者的看法和观点发生了转变,从仅完成一次服务就诊的人处于抽象层面,转变为体验过整个综合哮喘服务的人处于更具体验性的层面。

结论

在一项服务中持续体验/多次就诊可能会使患者对严重程度的认知、信念、健康行为产生更具体的变化,并增强自我效能感和控制感。该研究强调了社区中此类哮喘服务的必要性。

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