Knoell D L, Pierson J F, Marsh C B, Allen J N, Pathak D S
Division of Pharmacy Practice and Administration, The Ohio State University, Columbus 43210, USA.
Pharmacotherapy. 1998 Nov-Dec;18(6):1365-74.
We hypothesized that a pharmacist-provided comprehensive education program in conjunction with care provided by a pulmonologist would lead to improved economic, clinical, and humanistic outcomes in adults with asthma, compared with similar patients receiving care from a pulmonologist alone. The experimental group reported receiving more information about asthma self-management (p=0.001), were more likely to monitor peak flow readings (p=0.004), and had increased satisfaction with care, and perceived higher quality of care. Both groups had less lost productivity, fewer emergency department visits, fewer hospitalizations, and fewer physician visits, as well as improvement in symptoms scores within 45 days. Both groups improved in all functional status domains except the mental component score of the SF-12. Our results show a positive impact on outcomes in adults with asthma who received pharmaceutical care.
我们假设,与仅接受肺科医生治疗的类似患者相比,由药剂师提供的综合教育计划与肺科医生提供的护理相结合,将使成年哮喘患者在经济、临床和人文方面的结果得到改善。实验组报告称,他们获得了更多关于哮喘自我管理的信息(p = 0.001),更有可能监测峰值流量读数(p = 0.004),对护理的满意度更高,并且认为护理质量更高。两组的生产力损失均减少,急诊就诊次数、住院次数和看医生次数均减少,并且在45天内症状评分有所改善。除了SF-12的心理成分评分外,两组在所有功能状态领域均有所改善。我们的结果表明,接受药学护理的成年哮喘患者的治疗结果受到了积极影响。