全程化药学服务对社区慢性阻塞性肺疾病患者家庭药事干预效应分析  

Intervention Effects of Integrated Pharmaceutical Care for Community Chronic Obstructive Pulmonary Disease Patients

作　　者：李真[1] 方宗君[1] 葛明建[1] 杨容[1] 祝娅[1] 

机构地区：[1]上海市宝山区张庙街道长江路社区卫生服务中心,200431

出　　处：《中国全科医学》2011年第13期1496-1500,共5页Chinese General Practice

基　　金：上海市宝山区科学技术委员会发展项目(08-E-38)

摘　　要：目的采用全程化药学服务对社区慢性阻塞性肺疾病(COPD)患者进行干预,以倡导合理用药理念,消除不安全用药隐患,提高健康水平。方法社区确诊为COPD 150例患者随机分为干预组(A组)79例,对照组(B组)71例,A组采用全程化药学服务干预方法,如系列药学知识讲座、上门督导、建立网络联系等全程药学监护方法。B组不施行干预措施。结果干预后显示A组药学基础知识、专科药物治疗作用和副作用知晓率明显提高;急性期、稳定期用药品种均减少;按时服药、服药剂量、用药前说明书参阅率等理念有改善,保健品应用率下降;气雾剂应用技术掌握状况提高;药物不良反应发生率下降;自我效能感受能力增高,与B组比较差异有统计学意义(P<0.05)。A组家庭贮存药品管理情况比B组好转明显,差异有统计学意义(P<0.05)。A组的咳嗽、咳痰、气喘、运动评分优于B组,差异有统计学意义(P<0.05)。成本-效果分析表明A组优于B组,差异有统计学意义(P<0.05)。结论全程化药学服务对社区COPD患者合理的家庭用药和管理理念的培养有良好效应。Objective To apply intervention of integrated pharmaceutical care for community patients with chronic obstructive pulmonary disease（COPD）,so as to advocate an idea of rational medication,eliminate hazard of unsafe medication,and raise the health level.Methods Totally 150 COPD patients were randomly divided as intervention group（group A）（n=79） and contrast group（group B）（n=71）.The patients in group A were given integrated pharmaceutical care measurements such as lectures on pharmaceutical knowledge,supervision via visiting,and establishment of web connection.While the patients in group B were not given.Results After intervention,in the group A,the pharmaceutical knowledge,and awareness rates of actions and side-effects of specific drugs were obviously increased;the varieties of drug in acute and chronic stages were decreased,the ideas of regularly taking medicine,drug dosage,and reading the introduction of a drug before taking it were all improved,the usage rate of health products was decreased;the capacity of self-efficacy was enhanced.And the differences showed statistical significance as compared with group B（P0.05）.The management of drug storage was obviously improved in group A than in group B（P0.05）.The scores in cough,expectoration,breathlessness and movements were better in group A than in group B（P0.05）.The analysis of cost-effect showed that it was better in group A than in group B（P0.05）.Conclusion Integrated pharmaceutical care is beneficial to community COPD patients for their rational medication at home and cultivation on management idea.

关 键 词：肺疾病 慢性阻塞性 社区 药学 

分 类 号：R563[医药卫生—呼吸系统]