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通过吸入器标签改善哮喘自我管理教育。

Improving asthma self-management education through inhaler labeling.

作者信息

Dikranian Lea C, Irish D Elizabeth, Shanley Kathleen E, Walker Don R, de Waal Malefyt Stephen K

机构信息

Children's Hospital of Michigan, Detroit, MI, United States of America.

Albany Medical Center, Albany, NY, United States of America.

出版信息

PEC Innov. 2024 Aug 5;5:100330. doi: 10.1016/j.pecinn.2024.100330. eCollection 2024 Dec 15.

DOI:10.1016/j.pecinn.2024.100330
PMID:39252880
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11381901/
Abstract

OBJECTIVE

Improper use and poor understanding of asthma medications can lead to poorly controlled asthma, emergency department visits, and hospitalizations for children with asthma. Pharmacists play a critical role in improving asthma medication adherence through education on asthma self-management. The use of color-coded labels applied at pharmacies to help patients differentiate between rescue and maintenance inhalers has not been explored.

METHODS

Pharmacies were recruited to join a community pharmacy asthma coalition. Pharmacists provided patient education and labeled inhalers with two types of color-coded stickers. A red sticker labeled "RESCUE" was used for short-acting β-2 agonist medication inhalers. A green sticker labeled "USE EVERY DAY" was used for inhaled corticosteroids (ICS) or combination ICS/long-acting β-2 agonist medication inhalers.

RESULTS

During the two years of the pilot program, 25 pharmacy locations participated. Pharmacies labeled over 6000 rescue and 9000 controller medications using color-coded labels. Over 1000 children and 7000 adults were served by the coalition.

CONCLUSION

Color-coded asthma medication labels can be successfully utilized by pharmacies. This low-cost tool provides vital information regarding the proper use of asthma medications.

INNOVATION

The color-coded labeling of asthma medications is a novel innovation that can be successfully used by pharmacists to improve asthma self-management education.

摘要

目的

哮喘药物使用不当及理解不足会导致哮喘控制不佳、急诊就诊以及哮喘患儿住院。药剂师通过哮喘自我管理教育在提高哮喘药物依从性方面发挥关键作用。尚未探讨在药房使用颜色编码标签以帮助患者区分急救吸入器和维持治疗吸入器的情况。

方法

招募药房加入社区药房哮喘联盟。药剂师提供患者教育,并使用两种颜色编码贴纸为吸入器贴标签。红色“急救”贴纸用于短效β-2激动剂药物吸入器。绿色“每日使用”贴纸用于吸入性糖皮质激素(ICS)或ICS/长效β-2激动剂联合药物吸入器。

结果

在试点项目的两年中,有25个药房地点参与。药房使用颜色编码标签为6000多种急救药物和9000多种控制药物贴标签。该联盟为1000多名儿童和7000多名成年人提供了服务。

结论

药房可成功使用颜色编码的哮喘药物标签。这种低成本工具提供了有关哮喘药物正确使用的重要信息。

创新

哮喘药物的颜色编码标签是一项新颖的创新,药剂师可成功利用它来改善哮喘自我管理教育。

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本文引用的文献

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J Asthma. 2023 Jul;60(7):1428-1437. doi: 10.1080/02770903.2022.2155183. Epub 2022 Dec 30.
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Impact of the COVID-19 Pandemic on Incidence of Asthma Exacerbations and Hospitalizations in US Subspecialist-Treated Patients with Severe Asthma: Results from the CHRONICLE Study.COVID-19大流行对美国专科治疗的重度哮喘患者哮喘急性加重和住院发生率的影响:CHRONICLE研究结果
J Asthma Allergy. 2022 Aug 31;15:1195-1203. doi: 10.2147/JAA.S363217. eCollection 2022.
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Pediatric emergency care in New York City during the COVID-19 pandemic shutdown and reopening periods.纽约市在 COVID-19 大流行关闭和重新开放期间的儿科急诊护理。
Am J Emerg Med. 2022 Jun;56:137-144. doi: 10.1016/j.ajem.2022.03.049. Epub 2022 Mar 30.
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Community pharmacist counseling improves adherence and asthma control: a nationwide study.社区药剂师咨询可提高依从性和哮喘控制:一项全国性研究。
BMC Health Serv Res. 2022 Jan 26;22(1):112. doi: 10.1186/s12913-022-07518-0.
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US Primary Care Providers' Experiences and Practices Related to Routine Pediatric Vaccination During the COVID-19 Pandemic.美国初级保健提供者在 COVID-19 大流行期间进行常规儿科疫苗接种的经验和做法。
Acad Pediatr. 2022 May-Jun;22(4):559-563. doi: 10.1016/j.acap.2021.10.005. Epub 2021 Oct 28.
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Global Initiative for Asthma Strategy 2021: executive summary and rationale for key changes.全球哮喘倡议 2021 战略:执行摘要和关键变更的理由。
Eur Respir J. 2021 Dec 31;59(1). doi: 10.1183/13993003.02730-2021. Print 2022 Jan.
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Trends in US Pediatric Hospital Admissions in 2020 Compared With the Decade Before the COVID-19 Pandemic.2020 年美国儿科医院入院人数趋势与 COVID-19 大流行前十年相比。
JAMA Netw Open. 2021 Feb 1;4(2):e2037227. doi: 10.1001/jamanetworkopen.2020.37227.
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2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group.2020 年哮喘管理指南重点更新:国家哮喘教育和预防计划协调委员会专家小组工作组的报告。
J Allergy Clin Immunol. 2020 Dec;146(6):1217-1270. doi: 10.1016/j.jaci.2020.10.003.
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Pediatric Asthma Action Plans: National Cross-Sectional Online Survey of Parents' Perceptions.儿童哮喘行动计划:家长认知的全国横断面在线调查
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