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药学服务对哮喘患儿药物治疗依从性影响的研究

谢晓慧, 胡利华, 王晓玲, 史录文, 向莉*   

  1. 1. 北京大学医学部 药学院 药事管理与临床药学系, 北京 100191
    2. 首都医科大学附属北京儿童医院 药剂科, 北京 100045
    3. 首都医科大学附属北京儿童医院 哮喘中心, 北京 100045
  • 收稿日期:2009-12-20 修回日期:2010-02-20 出版日期:2010-03-15 发布日期:2010-03-15
  • 通讯作者: 向莉*

A study of the impact of pharmaceutical care on medication compliance in asthmatic children

Xiao-Hui Xie, Li-Hua Hu, Xiao-Ling Wang, Lu-Wen Shi, Li Xiang*   

  1. 1. Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University Health Science Center, Beijing 100191, China
    2. Department of Pharmacy, Beijing Children's Hospital Affiliated to Capital University of Medical Science, Beijing 100045, China
    3. Asthma Center, Beijing Children's Hospital Affiliated to Capital University of Medical Science, Beijing 100045, China

  • Received:2009-12-20 Revised:2010-02-20 Online:2010-03-15 Published:2010-03-15
  • Contact: Li Xiang*

摘要: 本研究的目的是研究药学服务对哮喘患儿药物治疗依从性的影响, 推动药师给哮喘患儿提供药学服务, 提高儿童哮喘控制水平。将2009年3至9月在北京儿童医院哮喘门诊就诊的101例哮喘患儿随机分为研究组和对照组进行研究。对照组患儿接受正常门诊, 研究组患儿接受正常门诊和药师提供的药学服务, 两组患儿随访时分别接受有关药学服务内容的问卷测试, 将测试结果进行统计学分析。研究组遵医嘱的百分率明显优于对照组 (分别为66.67%和36.00%); 研究组吸入装置使用的合格率明显高于对照组 (分别为78.26%和32.84%); 研究组对药物治疗依从性相关知识的掌握明显优于对照组。药师提供的药学服务提高了哮喘患儿的药物治疗依从性, 药师提供药学服务值得推广。

关键词: 药学服务, 哮喘, 药物治疗依从性

Abstract: The objective of the study is to study the impact of pharmaceutical care on medication compliance in asthmatic children. The results will be used to further develop the pharmaceutical care delivered by pharmacists for asthmatic children, and to promote children's asthma control in China. The study was conducted in outpatient department of Beijing Children's Hospital from Mar. to Sept., 2009. Asthmatic children (101) were randomly divided into two groups: the intervention group that received routine treatment and complete pharmaceutical care provided by pharmacists and the control group that received routine treatment only. Questionnaires were distributed to both groups and responses were analyzed statistically. Our results showed that the percentage of children using medication following doctor's instructions in the intervention group was significantly higher than that in the control group (66.67% and 36.00%, respectively); the percentage of children correctly using inhaler devices in the intervention group was significantly higher than that in the control group (78.26% and 32.84%, respectively); children and care givers of the intervention group had significantly more knowledge about medication compliance. In conclusion, the pharmaceutical care provided by pharmacists could improve medication compliance of asthmatic children, and it would be desirable to further develop the pharmaceutical care for asthmatic children across China.

Key words: Pharmaceutical care, Asthma, Medication compliance

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Supporting: *Corresponding author. Tel.: 86-10-59616161-2934