摘要
目的:探索药师开展患者吸入剂使用指导的方法,分析三级综合医院和县级二级医院药师指导患者使用吸入剂装置的效果。方法:收集北京大学第一医院呼吸科门诊首次使用吸入剂的患者122例和北京大学第一医院—密云医院正在使用且既往用过吸入剂的患者39例,由药师开展患者吸入剂使用指导并对指导效果进行评估。结果:北京大学第一医院呼吸科门诊患者药师指导1次后吸入剂使用评分平均为(9.21±0.96)分;北京大学第一医院—密云医院呼吸科门诊患者药师指导前吸入剂使用评分为(6.92±1.42)分,指导后评分(9.82±0.51)分,指导前后评分有统计学差异(P<0.001)。年龄和文化程度显著影响患者吸入剂使用的技术,患者容易出现的错误集中在装置上药、吸入药物前的呼吸调整以及吸入药品的环节。结论:药师开展患者吸入剂使用指导十分必要,经过培训的县级医院药师可以很好地开展吸入剂指导工作。
Objective： To explore the method of inhalant use guidance in patients conducted by pharmacists,and to analyze the effects of guidance in a grade A tertiary comprehensive hospital and in a county hospital.Methods： Totally 122 patients who first time used inhaler in Peking University First Hospital were collected,and39 patients with a history of previous using inhaler in Peking University First Hospital-Miyun Hospital were also included. The use guidance were given by pharmacists and followed by effect evaluation. Results： The score of inhaler techniques was（ 9. 21 ± 0. 96） after one time education conducted by pharmacists in Peking University First Hospital. The score of inhaler techniques in Peking University First Hospital-Miyun Hospital was（ 6. 92 ± 1. 42）before the patient education conducted by pharmacists,and the score was significantly increased（ 9. 82 ± 0. 51,P〈 0. 001） after the education. Age and education degree significantly affected patients＇ inhalant use technology.The most common errors in the using inhalers were focusing on the process of filling powder,exhaling prior to inhalation,and inhaling drugs. Conclusion： It is necessary for pharmacist to teach the patients how to use inhalers.The pharmacists in county-level hospital could take part in inhalant guidance work after professional training.
出处
《中国新药杂志》
CAS
CSCD
北大核心
2016年第3期357-360,共4页
Chinese Journal of New Drugs
基金
临床药学科国家临床重点专科建设项目
关键词
药师
吸入剂
患者教育
pharmacist
inhaler
patient education
