Hussain Farhat Naz, Paravattil Bridget
College of Pharmacy, QU Health, Qatar University, Doha, Qatar.
Integr Pharm Res Pract. 2020 Jan 23;9:23-31. doi: 10.2147/IPRP.S239215. eCollection 2020.
Community pharmacists are the last point of contact before patients are provided with an inhaled asthma device and are expected to adequately educate and train patients on its use. Evidence has shown that pharmacists lack the knowledge and skills required to appropriately counsel patients on these devices. The aim of this systematic review was to focus on evaluating the effects of educational interventions on community pharmacists knowledge of inhaler technique.
A literature search was conducted using the databases Pubmed and Embase with no applied time restrictions. The databases were searched from inception to December 2018. Articles were eligible for inclusion if they reported outcomes evaluating the improvement in pharmacists knowledge of inhaler technique after an educational intervention and provided details of the intervention. Pharmacists working in settings other than community pharmacies and inhaler devices used for conditions other than asthma were excluded.
Five studies met the eligibility criteria. Workshops and one-on-one instruction were the main educational strategies used in these studies to augment the pharmacists knowledge of asthma inhaler devices. A checklist was utilized by all studies to evaluate the pharmacists improvement of inhaler technique after an educational intervention. All studies showed an improvement in inhaler technique of pharmacists post-intervention.
Studies identified in this systematic review have shown that an educational intervention produced positive outcomes related to the pharmacists knowledge on the steps involved in using asthma inhaler devices. However, the study findings focused on short-term retention of knowledge of inhaler technique and did not address the application of these results in clinical practice.
社区药剂师是患者获得吸入式哮喘治疗设备前的最后一个接触点，预期他们能对患者进行充分的使用教育和培训。有证据表明，药剂师缺乏就这些设备对患者进行适当咨询所需的知识和技能。本系统评价的目的是着重评估教育干预对社区药剂师吸入器技术知识的影响。
使用数据库PubMed和Embase进行文献检索，无时间限制。检索这些数据库从建库至2018年12月。如果文章报告了评估教育干预后药剂师吸入器技术知识改善情况的结果，并提供了干预细节，则符合纳入标准。排除在社区药房以外环境工作的药剂师以及用于哮喘以外病症的吸入器设备。
五项研究符合纳入标准。研讨会和一对一指导是这些研究中用于增加药剂师哮喘吸入器设备知识的主要教育策略。所有研究都使用了一份清单来评估教育干预后药剂师吸入器技术的改善情况。所有研究均显示干预后药剂师的吸入器技术有所改善。
本系统评价中确定的研究表明，教育干预在药剂师关于使用哮喘吸入器设备所涉及步骤的知识方面产生了积极结果。然而，研究结果侧重于吸入器技术知识的短期保留，未涉及这些结果在临床实践中的应用。
