Olufemi-Yusuf Damilola T, Gabriel Sophie Beaudoin, Makhinova Tatiana, Guirguis Lisa M
Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, AB T6G 1C9, Canada.
Asthma Working Group of the Respiratory Health Strategic Clinical Network, Alberta Health Services, Calgary, AB T2W 1S7, Canada.
Pharmacy (Basel). 2018 Nov 15;6(4):121. doi: 10.3390/pharmacy6040121.
Asthma control can be achieved with effective and safe medication use; however, many patients are not controlled. Patients' perceptions of asthma, asthma treatment, and pharmacist roles can impact patient outcomes. The purpose of this study was to explore patients' experiences and patient⁻pharmacist relationships in asthma care. Qualitative Interpretive Description method guided the study. Semi-structured individual interviews were conducted with 11 patients recruited from personal contacts, pharmacies, and asthma clinics. Categories and themes were identified using inductive constant comparison. Themes indicated patients had a personalized common sense approach to asthma management, "go-to" health care provider, and prioritized patient⁻pharmacist relationships. Patients described their illness experiences and asthma control based on personal markers similar to the common sense model of self-regulation. Patients chose a family physician, asthma specialist, respiratory therapist, or pharmacist as an expert resource for asthma management. Patient perceived pharmacists' roles as information provider, adviser, or care provider. Pharmacists who develop a collaborative relationship with their asthma patients are better positioned to provide tailored education and self-management support. Inviting patients to share their perspective could increase patient engagement and uptake of personalised asthma action plans to achieve asthma control.
通过有效且安全地使用药物可以实现哮喘的控制;然而,许多患者并未得到有效控制。患者对哮喘、哮喘治疗以及药剂师角色的认知会影响患者的治疗效果。本研究的目的是探索患者在哮喘护理中的经历以及患者与药剂师的关系。定性解释性描述方法指导了该研究。对从个人关系、药店和哮喘诊所招募的11名患者进行了半结构化的个人访谈。使用归纳性持续比较法确定类别和主题。主题表明患者对哮喘管理有一种个性化的常识性方法、“首选”医疗服务提供者,并将患者与药剂师的关系置于优先地位。患者根据类似于自我调节常识模型的个人指标描述了他们的疾病经历和哮喘控制情况。患者选择家庭医生、哮喘专家、呼吸治疗师或药剂师作为哮喘管理的专家资源。患者将药剂师的角色视为信息提供者、顾问或护理提供者。与哮喘患者建立合作关系的药剂师更有能力提供量身定制的教育和自我管理支持。邀请患者分享他们的观点可以提高患者的参与度,并增加对个性化哮喘行动计划的接受度,以实现哮喘的控制。