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在喘和慢性阻塞性肺病中使用呼吸器粘附护理增强器仪器的自我管理支持:一个实施试验
Claire D Visser1, Lisanne L M Antonisse1, Floor M Alleda1
1Department of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands.
British journal of clinical pharmacology
|February 25, 2024
概括
呼吸粘附护理增强器 (RACE) 仪器改善了喘和COPD的自我管理. 使用RACE的药物支持是可行的,并提高了患者的信心和吸入器技术.
科学领域:
- 制药科学 制药科学
- 呼吸系统医学 呼吸系统医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 喘和COPD的低最佳自我管理是常见的,导致健康状况不佳.
- 控制器吸入疗法需要有效的患者自我管理,以获得最佳的治疗.
- 个性化识别和解决障碍对改善遵守至关重要.
研究的目的:
- 通过使用呼吸器坚持护理增强器 (RACE) 仪器,研究药物支持的可行性.
- 评估RACE工具在社区药房中的可接受性,实用性和实施过程.
- 评估RACE支持的药物护理对患者自我管理障碍和疾病控制的影响.
主要方法:
- 一项实施试验,涉及5家荷兰社区药房的84名喘和COPD患者.
- 患者被随机分配到标准护理或RACE仪器的附加支持,包括基线和随访问卷 (5周和10周).
- 干预组接受了基于RACE识别的障碍特征的咨询;收集了患者和顾问经验的数据.
主要成果:
- 患者对RACE支持的高满意度 (71%),报告增加了动机,放心和信心.
- 顾问对患者障碍的认识增加了; 83.9%的患者识别了他们的障碍配置文件.
- 干预组的吸入器技术障碍物显著减少 (OR 0.30);整体障碍物或疾病控制没有显著差异.
结论:
- 使用RACE仪器的药物支持是喘和COPD自我管理的可行和受欢迎的方法.
- 雷斯仪器在社区药房设置中促进了行为改变和以患者为中心的护理.
- 这种干预措施有望改善呼吸道疾病的坚持和结果.
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