Olivera Carolina M X, Vianna Elcio Oliveira, Bonizio Roni C, de Menezes Marcelo B, Ferraz Erica, Cetlin Andrea A, Valdevite Laura M, Almeida Gustavo A, Araujo Ana S, Simoneti Christian S, de Freitas Amanda, Lizzi Elisangela A, Borges Marcos C, de Freitas Osvaldo
Department of Pharmaceutical Sciences, Pharmacy School, Ribeirão Preto 14040-903, Brazil.
Department of Medicine, Medical School, Ribeirão Preto 14049-900, Brazil,
Health Educ Res. 2016 Oct;31(5):639-52. doi: 10.1093/her/cyw035. Epub 2016 Jul 29.
Information for patients provided by the pharmacist is reflected in adhesion to treatment, clinical results and patient quality of life. The objective of this study was to assess an asthma self-management model for rational medicine use. This was a randomized controlled trial with 60 asthmatic patients assigned to attend five modules presented by a pharmacist (intervention group) and 59 patients in the control group. Data collection was performed before and after this 4-month intervention and included an evaluation of asthma knowledge, lifestyle, inhaler techniques, adhesion to treatment, pulmonary function and quality of life. An economic viability analysis was also performed. The intervention group obtained an increase in asthma knowledge scores of 58.3-79.5% (P < 0.001). In this group, there was also an increase in the number of individuals who practiced physical exercise (36-43%), in the number of correct replies regarding the use of inhalers, in the percentage of adherent patients, and in quality of life scores for all domains. We concluded that this asthma self-management model was effective in improving the quality of life of asthma patients.
药剂师向患者提供的信息体现在治疗依从性、临床结果和患者生活质量上。本研究的目的是评估一种用于合理用药的哮喘自我管理模式。这是一项随机对照试验，60名哮喘患者被分配参加由药剂师提供的五个模块（干预组），59名患者作为对照组。在这4个月的干预前后进行数据收集，包括对哮喘知识、生活方式、吸入器使用技术、治疗依从性、肺功能和生活质量的评估。还进行了经济可行性分析。干预组的哮喘知识得分提高了58.3 - 79.5%（P < 0.001）。在该组中，进行体育锻炼的人数（36 - 43%）、关于吸入器使用的正确回答数量、依从患者的百分比以及所有领域的生活质量得分也都有所增加。我们得出结论，这种哮喘自我管理模式在改善哮喘患者生活质量方面是有效的。
