儿童支气管哮喘的药学服务及临床效果分析  

Clinical Effect Analysis and Pharmaceutical Care on Children with Bronchial Asthma

作　　者：郭惠娟[1] 钟明[1] 叶旭辉[1] 郎新玲[1] 王文明[1] 江美芳[2] 

机构地区：[1]深圳市宝安区妇幼保健院,广东深圳518133 [2]深圳市宝安区人民医院,广东深圳518101

出　　处：《儿科药学杂志》2016年第1期37-41,共5页Journal of Pediatric Pharmacy

摘　　要：目的:探讨药学服务对儿童哮喘知识知晓程度、用药依从性、肺功能和哮喘控制程度的影响,为改善哮喘患儿的药学服务提供依据。方法:将126例哮喘患儿随机分为观察组和对照组各63例,进行知识知晓、用药依从性、合理用药、肺功能和哮喘控制的调查和测评;对照组进行常规治疗和健康教育等干预;观察组在对照组健康教育干预措施的基础上,接受为期6个月药学服务干预,干预结束后,实施电话或上门随访跟踪调查。结果:两组患儿在哮喘知识知晓程度、用药依从性、合理用药途径、肺功能(FEV1%和PEF%)和儿童哮喘控制测试(C-ACT)等方面比较差异有统计学意义(P<0.05)。观察组患儿哮喘控制率明显提高(P<0.05),但仍然存在气雾剂使用不正确(23.81%)、控制药使用不当(20.63%)、哮喘日记欠完整(19.05%)、过分担忧药物不良反应等(14.29%)。结论:药学服务能显著改善患儿及家属对哮喘知识的知晓度,提高用药依从性和合理用药水平及肺功能和哮喘控制水平,药师应该更多提供和完善药学服务计划。Objective： To explore influence of pharmaceutical care on knowledge,medication compliance,pulmonary function and asthma control in asthmatic asthma children,in order to improve the pharmaceutical care plan. Methods： One hundred and twenty six children with bronchial asthma were randomly divided into observation group and control group,63 cases in each group. Knowledge,medicine compliance,rational drug use,pulmonary function and asthma control survey and assessment were selected. The control group was given conventional treatment and health education intervention. The observation group was accepted a period of 6 months of clinical pharmaceutical care intervention additionally,after intervention,the implementation of the telephone or home follow-up were surveyed.Results： Compared with the control group,the observation group in knowledge about asthma,medicine compliance,rational drug use,pulmonary function（ FEV1% and PEF%）,children with asthma control Test（ C-ACT） and other aspects were significantly improved（ P〈0.05）. The control rate of asthma in observation group had significantly increased（ P〈0.05）. But there were some questions,including aerosol used incorrectly（ 23.81%）,control drug used improperly（ 20. 63%）,asthma diary owed full（ 19. 05%）,excessive worried about adverse drug reactions（ 14. 29%）, etc. Conclusion： Pharmaceutical care intervention can improve knowledge, medicine compliance,utilization,pulmonary function and asthma control in asthmatic children. Pharmacists should provide and improve more intervention plans.

关 键 词：药学服务 儿童 哮喘 

分 类 号：R969.3[医药卫生—药理学]