药剂师管理的门诊诊所 (PMC) 中慢性阻塞性肺病 (COPD) 患者改善药物坚持和肺功能的有效性:前后干预研究:前后干预研究

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Updated: Sep 13, 2025

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Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation

Published on: November 8, 2013

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Fang Fang¹, Xiaobo Zhai¹, Xiucong Fan¹

¹Department of Pharmacy, Affiliated Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.

Journal of evaluation in clinical practice

|July 28, 2025

概括

药剂师主导的药物治疗管理服务显著改善了慢性阻塞性肺病 (COPD) 患者的药物坚持和肺功能. 此次干预还确定了与药物相关的问题,并改善了慢性疾病患者的生活质量.

科学领域:

药物经济学和医疗服务研究研究药物经济学和医疗服务研究
肺部病理学肺部病理学
临床药房临床药房

背景情况:

患者坚持治疗对于有效的慢性疾病管理和改善治疗结果至关重要.
药剂师在优化患者执法和管理慢性疾病方面发挥着关键作用.

研究的目的:

评估慢性疾病 (PCD) 患者的药物治疗管理 (MTM) 服务的有效性,特别是包括慢性阻塞性肺病 (COPD) 患者.
评估药剂师管理的门诊 (PMC) 中提供的MTM服务对患者遵守,与药物相关的问题 (DRPs) 和与健康相关的生活质量 (HRQoL) 的影响.

主要方法:

在中国上海的一家三级医院进行了一项前后干预前研究,涉及713名患有慢性疾病的患者,包括COPD.
药剂师在3个月的监测期间提供了MTM服务,包括遵守评估和DRP识别.
使用EQ-5D测量了与健康有关的生活质量,并在干预前和后评估了COPD患者的肺功能 (FEV1).

主要成果:

在整个患者队列中,共确定了768名DRP.
虽然整体依从度有所不同,但COPD患者的中等依从度显著增加,整体依从度和FEV1干预后显著改善 (p <0.05).
平均EQ-5D实用性和EQ-VAS分数表明与健康相关的生活质量普遍良好.

结论:

药剂师有很好的设备来评估DRPs,HRQoL,以及慢性疾病患者的坚持.
药剂师提供的MTM服务可以有效地提高药物坚持性,并改善COPD患者的肺功能.

关键词:

人权质量标准 (HRQoL)坚持性坚持性慢性肺炎患者的肺功能药物治疗管理药物治疗管理药师管理的诊所是药剂师管理的诊所.

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