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药剂师对反应性呼吸道疾病患者的护理的有效性:随机对照试验
Morris Weinberger1, Michael D Murray, David G Marrero
1Regenstrief Institute for Health Care, Roudebush Veterans Affairs Medical Center, and Department of Medicine, Indiana University School of Medicine, Indianapolis, USA. mweinber@email.unc.edu
JAMA
|September 28, 2002
概括
一个药物护理计划改善了喘和COPD患者的峰值呼气流量和满意度. 然而,它并没有显著改善生活质量或药物遵守,并增加了紧急访问.
科学领域:
- 药理学 药理学是指药理学的学科.
- 临床药房 临床药房
- 呼吸系统医学 呼吸系统医学
背景情况:
- 药剂师与患者相互作用对患者结局的影响仍然不清楚.
- 有效的药剂师干预对于管理喘和COPD等慢性呼吸道疾病至关重要.
研究的目的:
- 评估药物护理计划对被诊断患有喘或慢性阻塞性肺病 (COPD) 的患者的有效性.
- 评估该计划对患者关键结果的影响,包括呼吸功能,医疗保健利用率和患者满意度.
主要方法:
- 在36家社区药房进行了一项随机对照试验,涉及1113名患有活性COPD或喘的参与者.
- 干预组接受了一项药物护理计划,包括患者特定的临床数据,培训和教育材料.
- 对照组接受了峰值呼气流量 (PEFR) 监测或通常的护理,药剂师参与有限.
主要成果:
- 与通常护理相比,药物护理显著增加了患者的PEFR,但仅仅是峰值流量监测并非如此.
- 两组之间没有观察到药物服药或与健康相关的生活质量 (HRQOL) 的显著差异.
- 药品护理组的患者报告说,他们对药剂师和医疗保健的满意度更高,但也经历了更多与呼吸有关的急诊室或医院访问.
结论:
- 制药护理计划在改善喘和COPD患者的PEFR和患者满意度方面显示出好处.
- 该计划比简单的峰值流量监控提供了有限的优势,并且没有提高HRQOL或合规性.
- 干预组中医疗保健使用率的增加需要进一步调查该计划的整体成本效益和安全性.
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