药房的哮喘服务通过提高患者的疾病意识而改善病情监控
2014/10/16
摘要
目的：如果要在日常诊疗中实施并维持新型医疗服务，则应重视病人的意见与看法，因为这些评价对医疗服务的运作和发展非常重要。本研究旨在探索病人接受药房哮喘服务时的认识及经历，从而调查其对疾病的认知是否会有所变化。
方法：将在三个时间点参加哮喘服务的患者分成访谈组和焦点组。数据被逐字记录并使用框架法进行主题分析。
主要发现：该项服务显著提高了患者对哮喘的认知及了解，改变了参与者对哮喘管理的观念及态度，同时改变的还有哮喘相关健康行为，并使自我管理更加完善有效。参与者肯定了在哮喘管理中药房服务及药剂师的重要作用。从仅仅完成一次访视的参与者，到完成所有哮喘综合服务的参与者，他们的认知及看法发生了从抽象水平到更具经验水平的转化。
结论：持续性的医疗服务体验或多次访问可以使患者对疾病的严重性、治疗观念及健康行为发生实质性的改变，并使患者自身管理得到加强、更加有效。本研究强调了在社区中开展这类哮喘治疗服务的必要性。
（苏楠 审校）
Int J Pharm Pract. 2014 Jul 4. doi: 10.1111/ijpp.12134. [Epub ahead of print]
A pharmacy asthma service achieves a change in patient responses from increased awareness to taking responsibility for their asthma.
Naik-Panvelkar P1, Saini B, LeMay KS, Emmerton LM, Stewart K, Burton DL, Bosnic-Anticevich SZ, Krass I, Smith LD, Armour CL.
ABSTRACT
OBJECTIVES: If novel health services are to be implemented and sustained in practice, the perceptions and views of patients form a critical part of their evaluation. The aims of this study were to explore patient's perceptions and experiences with a pharmacy asthma service and to investigate if there was a change over time.
METHODS: Interviews and focus groups were conducted with patients participating in the asthma service at three time points. Data were transcribed verbatim and thematically analyzed using a framework approach.
KEY FINDINGS: The service led to an enhanced awareness and understanding of asthma, changes in participants' beliefs and attitudes towards asthma management, changes in asthma-related health behaviours and improved self-efficacy. Participants were very positive about the service and the role of the pharmacist in asthma management. There was a shift in participant perceptions and views, from being at an abstract level in those who had completed just one visit of the service to a more experiential level in those who had experienced the entire comprehensive asthma service.
CONCLUSIONS: A sustained experience/multiple visits in a service may lead to more concrete changes in patient perceptions of severity, beliefs, health behaviours and enhanced self-efficacy and control. The study highlights a need for such asthma services in the community.
Int J Pharm Pract. 2014 Jul 4. doi: 10.1111/ijpp.12134. [Epub ahead of print]
