药剂师的咨询能否改善吸入器的使用情况及生活质量？巴基斯坦马尔丹的一项前瞻性“前后”教育分析。
Can Pharmacists' Counseling Improve the Use of Inhalers and Quality of Life? A Prospective "Pre" and "Post" Education Analysis in Mardan, Pakistan.
作者信息
Gul Sumaira, Rehman Inayat Ur, Goh Khang Wen, Ali Zahid, Rahman Aziz Ur, Khalil Asad, Shah Ismail, Khan Tahir Mehmood, Ming Long Chiau
机构信息
Department of Pharmacy, Garden Campus, Abdul Wali Khan University Mardan, Khyber Pakhtunkhwa, Pakistan.
Faculty of Data Science and Information Technology, INTI International University, Nilai, Malaysia.
出版信息
J Asthma Allergy. 2023 Jul 6;16:679-687. doi: 10.2147/JAA.S405943. eCollection 2023.
INTRODUCTION
Asthma is one of the common major non-communicable respiratory diseases, and is associated with a lower health-related quality of life (QOL). Poor inhalation is a significant contributing factor to poor control of asthma. Community pharmacist has a vital role to play in assisting patients and ultimately improving their asthma conditions through the use of inhalers.
AIM
This study aimed to assess the effectiveness of "pre" and "post" educational intervention by a community pharmacist within a community pharmacy on asthma patients' QOL, inhaler technique, and adherence to therapy during the endemic phase of COVID-19.
METHODS
A "pre" and "post" interventional study was performed at a community pharmacy in the city of Mardan, Pakistan, in 2022 during the COVID-19 pandemic. Patients were divided into two groups, ie control and pharmacist-led education groups. After assigning patients to both groups, the baseline data were collected and followed for one month to compare the reduction in errors in the use of inhalers, QOL, and adherence to therapy. A paired sample -test was performed, keeping a p-value <0.05 as statistical significance.
RESULTS
A total of 60 patients were recruited, majority (58.3%) were females, and 28.3% were from the age group of 46-55 years old. A statistically significant difference was observed in the pre- and post-education QOL score among patients in the pharmacist-led education group, from a mean ± SD at pre-education of 40.23±10.03 to a mean±SD at post-education of 48.10±5.68. Similarly, a statistically significant difference was observed for the correct use of inhalers, ie MDIs and DPIs. Similarly, a statistically significant difference was observed in the adherence status between pre-education and post-education by pharmacists.
CONCLUSION
The findings of the study revealed a positive impact of community pharmacist-led education on QOL, inhaler technique, and adherence to therapy among patients with asthma.
引言
哮喘是常见的主要非传染性呼吸道疾病之一，与较低的健康相关生活质量（QOL）相关。吸入方法不当是导致哮喘控制不佳的一个重要因素。社区药剂师在协助患者并最终通过使用吸入器改善其哮喘病情方面发挥着至关重要的作用。
目的
本研究旨在评估社区药房的社区药剂师在 COVID - 19 流行期间对哮喘患者进行教育干预“前”和“后”，在生活质量、吸入器技术及治疗依从性方面的效果。
方法
2022 年 COVID - 19 大流行期间，在巴基斯坦马尔丹市的一家社区药房进行了一项“前”和“后”干预研究。患者分为两组，即对照组和药剂师主导的教育组。将患者分配到两组后，收集基线数据并随访一个月，以比较吸入器使用错误的减少情况、生活质量和治疗依从性。进行配对样本检验，将 p 值 <0.05 作为统计学显著性标准。
结果
共招募了 60 名患者，大多数（58.3%）为女性，28.3%来自 46 - 55 岁年龄组。在药剂师主导的教育组患者中，教育前后的生活质量得分存在统计学显著差异，教育前平均±标准差为 40.23±10.03，教育后平均±标准差为 48.10±5.68。同样，在吸入器（即定量吸入器和干粉吸入器）的正确使用方面也观察到统计学显著差异。类似地，药剂师教育前后的依从性状况也存在统计学显著差异。
结论
该研究结果表明，社区药剂师主导的教育对哮喘患者的生活质量、吸入器技术和治疗依从性有积极影响。
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