| 摘要: |
| 目的：探讨药学服务对儿童哮喘知识知晓程度、用药依从性、肺功能和哮喘控制程度的影响，为改善哮喘患儿的药学服务提供依据。方法：将126例哮喘患儿随机分为观察组和对照组, 每组63例, 进行知识知晓、用药依从性、合理用药、肺功能和哮喘控制的调查和测评；对照组进行常规治疗和健康教育等干预；观察组在对照组健康教育干预措施的基础上，接受为期6个月药学服务干预，干预结束后，实施电话或上门随访跟踪调查。结果：两组患儿在哮喘知识知晓程度、用药依从性、合理用药途径、肺功能（FEV1％和PEF％）和儿童哮喘控制测试（C-ACT）等方面比较差异有统计学意义（P<0.05）。观察组儿童哮喘控制率明显提高（P<0.05），但仍然存在气雾剂使用不正确（23.81%）、控制药使用不当（20.63%）、哮喘日记欠完整（19.05%）、过分担忧药物不良反应等（14.29%）。结论：药学服务能显著有效改善儿童哮喘知识知晓度、用药依从性、合理用药、肺功能和哮喘控制水平，药师应该更多提供和完善药学服务计划。 |
| 关键词: 药学服务 儿童 哮喘 效果 |
| DOI：doi:10.13407/j.cnki.jpp.1672-108X.2016.01.015 |
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| 基金项目: |
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| Investigation on Influence of Pharmaceutical Care on Children with Bronchial Asthma |
| Guo Huijuan1, Zhong Ming1, Ye Xuhui1, Lang Xinling1, Wang Wenming1, Jiang Meifang2 |
| (1. Baoan Maternal and Child Health Hospital of Shenzhen, Guangdong Shenzhen 518133, China; 2. Baoan People’ Hospital of Shenzhen, Guangdong Shenzhen 518101, China) |
| Abstract: |
| Objective: To explore influence of pharmaceutical care on knowledge, compliance, utilization, pulmonary function and asthma control in asthmatic children in order to improve the pharmaceutical care plan. Methods: 126 children with bronchial asthma were randomly divided into observation group and control group, 63 cases in each group, knowledge, compliance, rational drug use, lung function and asthma control survey and assessment. The control group was given conventional treatment and health education intervention. The observation group in the control group interventions based on, to accept a period of 6 months of clinical pharmaceutical care intervention, after intervention, the implementation of the telephone or home follow-up survey. Results: Compared with the control group, the observation group in knowledge about asthma, compliance, inhaled medication, lung function (FEV1% and PEF%) and children with asthma control Test (C-ACT) and other aspects is significantly improved (P<0.05); in addition, to control the rate of asthma in children has significantly increased (P<0.05). But there are still affecting the efficacy question: aerosol is used incorrectly (23.81% ), control drug used improperly (20.63%), asthma diary owe full (19.05 percent), excessive worry adverse drug reactions (14.29%), etc. Conclusion: Pharmaceutical care intervention can improve knowledge, compliance,utilization,pulmonary function and asthma control in asthmatic children,Pharmacists should provide and improve more medician intervention plans. |
| Key words: Pharmaceutical care Children Asthma Influence |
