PDF(Pubmed)
Abstract：
UNASSIGNED: Asthma and Chronic obstructive pulmonary disease (COPD) are chronic respiratory conditions characterized by airflow obstruction and respiratory symptoms. Adherence to prescribed inhaler therapy and correct inhalation technique are essential for effective disease management and optimal disease control. However, non-adherence and incorrect inhalation technique are common challenges faced by patients with asthma and COPD, leading to suboptimal treatment outcomes and increased healthcare burden.
UNASSIGNED: To study the impact of a pharmacist-led intervention on inhaler adherence, inhalation technique, and disease control among patients with asthma and COPD.
UNASSIGNED: A pre-post interventional design assessed the effects of pharmacist-led intervention on inhaler adherence, inhalation techniques, and disease control in asthma and COPD patients at Dhulikhel Hospital in Nepal. Inclusion criteria: adult patient clinically diagnosed with asthma or COPD patients of all genders. The intervention comprised counseling patients with aids like videos, and informational leaflets. Impact was measured using checklist method for inhalation technique, the Test of Adherence to Inhaler (TAI) questionnaire for adherence to inhaler, and \"Asthma Control Test (ACT)\" or \"COPD Assessment Test (CAT)\" for disease control.
UNASSIGNED: The pharmacist-led intervention significantly increased adherence to inhalers, evidenced by a notable rise in the proportion of patients with good adherence (P<0.001). Sporadic, deliberate, and unwitting noncompliance pattern also improved significantly after the intervention (P<0.001, P<0.001 and P=0.001). Inhalation technique exhibited substantial improvement after intervention (P<0.001). The analysis indicated significant moderate negative correlations between \"TIA\" and \"CAT\" [ρ=-0.31; P=0.01], and between \"inhalation technique score\" and \"CAT score\" [ρ=-0.31; P=0.01] suggesting that as adherence to inhaler usage and inhalation technique improve, CAT scores tend to decrease, indicating reduced disease impact on the patient.
UNASSIGNED: This study shows the potential efficacy of pharmacist-led intervention in enhancing adherence to inhaler, inhalation technique, and disease control in respiratory conditions such as asthma and COPD.
UNASSIGNED: To study the impact of a pharmacist-led intervention on inhaler adherence, inhalation technique, and disease control among patients with asthma and COPD.
UNASSIGNED: A pre-post interventional design assessed the effects of pharmacist-led intervention on inhaler adherence, inhalation techniques, and disease control in asthma and COPD patients at Dhulikhel Hospital in Nepal. Inclusion criteria: adult patient clinically diagnosed with asthma or COPD patients of all genders. The intervention comprised counseling patients with aids like videos, and informational leaflets. Impact was measured using checklist method for inhalation technique, the Test of Adherence to Inhaler (TAI) questionnaire for adherence to inhaler, and \"Asthma Control Test (ACT)\" or \"COPD Assessment Test (CAT)\" for disease control.
UNASSIGNED: The pharmacist-led intervention significantly increased adherence to inhalers, evidenced by a notable rise in the proportion of patients with good adherence (P<0.001). Sporadic, deliberate, and unwitting noncompliance pattern also improved significantly after the intervention (P<0.001, P<0.001 and P=0.001). Inhalation technique exhibited substantial improvement after intervention (P<0.001). The analysis indicated significant moderate negative correlations between \"TIA\" and \"CAT\" [ρ=-0.31; P=0.01], and between \"inhalation technique score\" and \"CAT score\" [ρ=-0.31; P=0.01] suggesting that as adherence to inhaler usage and inhalation technique improve, CAT scores tend to decrease, indicating reduced disease impact on the patient.
UNASSIGNED: This study shows the potential efficacy of pharmacist-led intervention in enhancing adherence to inhaler, inhalation technique, and disease control in respiratory conditions such as asthma and COPD.
摘要：
■哮喘和慢性阻塞性肺疾病（COPD）是以气流阻塞和呼吸道症状为特征的慢性呼吸系统疾病。坚持处方吸入治疗和正确的吸入技术对于有效的疾病管理和最佳的疾病控制至关重要。然而,不坚持和不正确的吸入技术是哮喘和COPD患者面临的共同挑战，导致治疗效果欠佳，增加医疗负担。
■为了研究药剂师主导的干预对吸入器依从性的影响，吸入技术，哮喘和COPD患者的疾病控制。
■一项介入前设计评估了药剂师主导的介入对吸入器依从性的影响，吸入技术，以及尼泊尔Dhulikhel医院哮喘和COPD患者的疾病控制。纳入标准：成年患者临床诊断为哮喘或COPD患者的所有性别。干预措施包括为患者提供视频等艾滋病咨询，和信息传单。使用检查表方法测量吸入技术的影响，吸入器依从性测试(TAI)对吸入器依从性的调查问卷，和“哮喘控制测试（ACT）”或“COPD评估测试（CAT）”用于疾病控制。
■药剂师主导的干预措施显著提高了对吸入器的依从性，依从性良好的患者比例显着上升（P<0.001）。零星的，故意的,干预后，不知情的不依从模式也得到了显着改善（P<0.001，P<0.001和P=0.001）。吸入技术在干预后表现出显著的改善(P<0.001)。分析表明，“TIA”和“CAT”之间存在显着的中度负相关[ρ=-0.31；P=0.01]，在“吸入技术得分”和“CAT得分”之间[ρ=-0.31；P=0.01]表明，随着对吸入器使用和吸入技术的依从性提高，CAT分数趋于下降,表明疾病对患者的影响减少。
■这项研究显示了药剂师主导的干预在提高吸入器依从性方面的潜在功效，吸入技术，以及哮喘和COPD等呼吸系统疾病的疾病控制。
■为了研究药剂师主导的干预对吸入器依从性的影响，吸入技术，哮喘和COPD患者的疾病控制。
■一项介入前设计评估了药剂师主导的介入对吸入器依从性的影响，吸入技术，以及尼泊尔Dhulikhel医院哮喘和COPD患者的疾病控制。纳入标准：成年患者临床诊断为哮喘或COPD患者的所有性别。干预措施包括为患者提供视频等艾滋病咨询，和信息传单。使用检查表方法测量吸入技术的影响，吸入器依从性测试(TAI)对吸入器依从性的调查问卷，和“哮喘控制测试（ACT）”或“COPD评估测试（CAT）”用于疾病控制。
■药剂师主导的干预措施显著提高了对吸入器的依从性，依从性良好的患者比例显着上升（P<0.001）。零星的，故意的,干预后，不知情的不依从模式也得到了显着改善（P<0.001，P<0.001和P=0.001）。吸入技术在干预后表现出显著的改善(P<0.001)。分析表明，“TIA”和“CAT”之间存在显着的中度负相关[ρ=-0.31；P=0.01]，在“吸入技术得分”和“CAT得分”之间[ρ=-0.31；P=0.01]表明，随着对吸入器使用和吸入技术的依从性提高，CAT分数趋于下降,表明疾病对患者的影响减少。
■这项研究显示了药剂师主导的干预在提高吸入器依从性方面的潜在功效，吸入技术，以及哮喘和COPD等呼吸系统疾病的疾病控制。
