Pharmaceutical intervention in the usage of inhalers with COPD patients that have an appointment in a health center to do an spirometry

Cristina Peral Bolaños, Luis Baró Rodriguez, Rosa Carabaño Moral, Maria Victoria Martin Ruiz, Esperanza Sanz Sanmartin, Esther Ordoñez Navarro, Isabel Maria Molina Conejo, Aranzazu Garcia Buendia, Maria Dolores Llamas Del Castillo, Fernando Martinez Martinez, Rocio Martin Valero
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Abstract

Background: the usage of inhalers is something complex. This work with COPD patients pretends that, after the pharmacist intervention, the correct usage of these drugs is guaranteed so as to improve the quality of life. Methods: the nurse set a date to do an spirometry to the patients. On the other hand, the pharmacist assessed the usage of the inhalers and carried out the adherence and quality of life tests. Three months after, the patients came back to the consultation and the pharmacist repeated the same procedure to detect any possible change after the intervention. Results: on those patients that attended both appointments, it was seen that there were statistically significant changes between the adherence punctuation regarding both appointments. The average of punctuation is higher in the second appointment (49.09) in respect to the first one (46.45), this is a significant difference with a p<0.05. The quality of life was the same in both appointments and the errors average in the usage of inhalators in the second appointment decreased (1773) significantly in respect to the errors average in the first appointment (4727). Conclusion: the intervention of a pharmacist in a multidisciplinary team to the following of COPD patients is advantageous to these patients, mainly in relation to the usage of inhalers and the adherence to treatment.
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在健康中心预约进行肺量测定的COPD患者使用吸入器的药物干预
背景:吸入器的使用是复杂的。这项针对COPD患者的研究表明,经过药师的干预,这些药物的正确使用得到了保证,从而提高了患者的生活质量。方法:由护士约定时间对患者进行肺活量测定。另一方面,药剂师评估吸入器的使用情况,并进行依从性和生活质量测试。三个月后,患者再次前来咨询,药剂师重复了同样的步骤,以检测干预后可能发生的变化。结果:在两次预约的患者中,两次预约的依从性标点符号有统计学意义的变化。第二次约会的标点符号平均值(49.09)高于第一次约会的标点符号平均值(46.45),这是一个p<0.05的显著差异。两次预约的生活质量相同,第二次预约使用吸入器的平均错误(1773)比第一次预约的平均错误(4727)显著减少。结论:多学科团队药师对以下COPD患者的干预是有利的,主要是在吸入器的使用和治疗依从性方面。
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