药剂师领导的COPD诊所对农村医疗诊所患者预后的影响

S. Russell, Steven Johnson, Elizabeth Mills
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引用次数: 0

摘要

背景尽管有充分的证据表明药剂师可以改善疾病状态的结果,但目前还没有研究评估药剂师对COPD患者的生活质量(QOL)、肺功能和依从性的影响,特别是在农村医疗环境中。我们的目的是比较在农村医疗环境中,有和没有参加药剂师领导的COPD诊所的患者生活质量的变化。方法这是一项单中心、前瞻性、开放标签的病例/对照研究,于2018年12月至2019年6月在一家农村医疗中心进行。入选患者被交替分配到病例组或对照组。在6个月的时间里,病例参与者接受了个性化的患者护理,包括PFT、利用圣乔治呼吸问卷(SGRQ)进行的生活质量评估、疾病状态教育和药物管理,共进行了3次预约。对照受试者在3次预约期间没有接受个性化干预,只完成了PFT、SGRQ和药物依从性咨询。结果共有20名患者参加了为期6个月的COPD门诊。在6个月的临床结束时,两组在SGRQ值(p=0.191)、药物依从性(p=0.279)和肺功能(p=0.321)方面没有统计学上的显著差异。限制因素包括随机化方法和样本量。结论两组间差异无统计学意义;干预组和对照组的参与者都进行了显著的中介管理干预。药剂师在多个执业环境中处于有利地位,有助于提高这些患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of a Pharmacist-led COPD Clinic on Patient Outcomes in a Rural Healthcare Clinic
Background While it is well documented that pharmacists improve disease state outcomes, there are currently no studies evaluating a pharmacist’s impact on quality of life (QOL), lung function, and adherence in COPD patients, specifically in a rural healthcare setting. We aimed to compare changes in patient QOL with and without participation in a pharmacist-led COPD clinic in a rural healthcare setting. Methods This was a single-center, prospective, open-label, case/control study performed at a rural healthcare center during December 2018 through June 2019. Enrolled patients were assigned to either the case or control arm on an alternating basis. Case participants received individualized patient care including PFT, QOL assessment utilizing the St. George’s Respiratory Questionnaire (SGRQ), disease state education, and medication management for a total of 3 appointments during a 6-month period. Control subjects did not receive the individualized intervention during the 3 appointments and only completed the PFT, SGRQ, and medication adherence counseling. Results A total of 20 patients participated in the complete 6-month COPD clinic. At the end of the 6-month clinic, there was not a statistically significant difference between the groups in regard to SGRQ values (p=0.191), medication adherence (p=0.279), and lung function (p=0.321). Limitations included randomization methods and sample size. Conclusions Although there was not a statistically significant difference between the groups; significant mediation management interventions were made for participants in both the intervention and control groups. Pharmacists are well positioned in multiple practice settings to contribute to the improvement of quality of life for these patients.
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