Clark Henry, Carpenter Delesha, Walsh Kathleen, Davis Scott A, Garcia Nacire, Sleath Betsy
University of North Carolina, Chapel Hill, NC, USA.
Boston Children's Hospital, Boston, MA, USA.
Glob Pediatr Health. 2020 Dec 14;7:2333794X20981341. doi: 10.1177/2333794X20981341. eCollection 2020.
The purpose of this study was to describe the number and types of errors that adolescents and caregivers report making when using asthma controller medications. A total of 319 adolescents ages 11 to 17 with persistent asthma and their caregivers participated in this cross-sectional study. Adolescent and caregiver reports of asthma medication use were compared to the prescribed directions in the medical record. An error was defined as discrepancies between reported use and the prescribed directions. About 38% of adolescents reported 1 error in using asthma controller medications, 16% reported 2 errors, and 5% reported 3 or more errors. About 42% of caregivers reported 1 error in adolescents using asthma controller medications, 14% reported 2 errors, while 6% reported 3 or more errors. The type of error most frequently reported by both was not taking the medication at all. Providers should ask open-ended questions of adolescents with asthma during visits so they can detect and educate families on how to overcome errors in taking controller medication use.
本研究的目的是描述青少年和照顾者在使用哮喘控制药物时报告的错误数量和类型。共有319名年龄在11至17岁之间的持续性哮喘青少年及其照顾者参与了这项横断面研究。将青少年和照顾者报告的哮喘药物使用情况与病历中的处方说明进行比较。错误被定义为报告的使用情况与处方说明之间的差异。约38%的青少年报告在使用哮喘控制药物时出现1次错误,16%报告出现2次错误,5%报告出现3次或更多错误。约42%的照顾者报告青少年在使用哮喘控制药物时出现1次错误,14%报告出现2次错误,而6%报告出现3次或更多错误。双方最常报告的错误类型是根本未服药。医护人员在就诊时应向患有哮喘的青少年提出开放式问题,以便他们能够发现并指导家庭如何克服在使用控制药物时出现的错误。