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从药师角度评价哮喘患者用药技能、依从性和有效性
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| 篇名： | 从药师角度评价哮喘患者用药技能、依从性和有效性 |
| TITLE： | Evaluation of the skill ，adherence and effectiveness of medication in asthma patients from a pharmacist perspective |
| 摘要： | 目的 从药师角度总结支气管哮喘（以下简称“哮喘”）患者用药技能、依从性和有效性的评价方法，为药师开展临床干预研究和管理哮喘患者提供参考。方法参考诊疗指南、循证医学证据文献和临床实践经验，从用药技能（吸入技术）、依从性和有效性3个方面阐述具有临床价值的哮喘患者药物治疗的评价方法。结果吸入技术评分表是哮喘患者用药技能的重要评价方法。依从性主要借助Morisky用药依从性问卷或哮喘药物依从性报告量表进行评价。有效性评价方法包括直接评价指标（临床表现、急性发作和缓解药物治疗情况、检查指标如肺功能指标和呼出气一氧化氮等）和间接评价工具（即各种量表，包括哮喘控制测试问卷、儿童哮喘控制测试问卷、儿童呼吸和哮喘控制测试问卷、哮喘相关生命质量量表等）。结论将用药技能、依从性和有效性方面的评价方法结合起来，可以更好地评价哮喘患者的药物治疗效果。药师应在实践中应用并完善这些评价方法，以对哮喘患者实施更好的药学干预。 |
| ABSTRACT： | OBJECTIVE To analyze th e evaluation methods of the skill ，adherence and effectiveness of medication in bronchial asthma （hereinafter referred to as “asthma”）patients from a pharmacist perspective ，and to provide reference for pharmacists to carry out clinical intervention researches and management of asthma patients. METHODS Referring to diagnosis and treatment guidelines ，evidence-based medicine literature and clinical practice experience ，the evaluation methods of asthma patients ’ medication with clinical value were expounded from three aspects including medication skill （inhalation technology ），adherence and effectiveness. RESULTS Inhalation technique rating form was an important evaluation method of medication skills in asthma patients. Medication adherence could be evaluated by Morisky Medication Adherence Scale or the Medication Adherence Report Scale for Asthma. Effectiveness evaluation methods contained direct evaluation indexes （such as clinical manifestations ，situation of acute exacerbation and relieving medication ，examination indexes such as pulmonary function indexes and fractional concentration of exhaled nitric oxide ）and indirect evaluation tools （i.e. various scales ，including Asthma Control Test ，Children-Asthma Control Test，the Test for Respiratory and Asthma Control in Kids ，asthma related quality of life scales ，etc.）CONCLUSIONS The combination of the evaluation methods of medication skill ， adherence and effectiveness contributes to assessing the pharmacotherapy effect of asthma patients. Pharmacists should apply and perfect these evaluation methods in practice ，so as to conduct better pharmaceutical intervention on asthma patients. |
| 期刊： | 2022年第33卷第13期 |
| 作者： | 王越，孙安修，特日格乐，房伶，魏文凭，于锋 |
| AUTHORS： | WANG Yue，SUN Anxiu，Terigele，FANG Ling，WEI Wenpin ，YU Feng |
| 关键字： | 哮喘；用药技能；依从性；有效性；评价方法 |
| KEYWORDS： | asthma；medication skill ；adherence；effectiveness；evaluation methods |
| 阅读数： | 200 次 |
| 本月下载数： | 7 次 |
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