药学服务对慢性阻塞性肺疾病稳定期患者用药依从性及认知程度影响.docVIP

药学服务对慢性阻塞性肺疾病稳定期患者用药依从性及认知程度影响 　　摘 要 目的：分析药学服务对慢性阻塞性肺疾病稳定期患者用药依从性及?J知程度的影响。方法：175例COPD稳定期患者，按照随机数字表法分为两组，对照组（n=87）给予常规用药指导，研究组（n=88）给予临床药学干预，干预时间为6个月。结果：研究组干预后用药依从性好的患者所占比例为92.05%，明显高于干预前及同期对照组（73.56%），P0.05。研究组COPD基础知识、正确用药、生活方式、运动锻炼知识认知程度优良率与对照组比较更高，不良反应发生率更低，P0.05。结论：对COPD稳定期患者给予药学服务干预，不仅可提高患者对疾病的认知程度，还有效提高用药依从性，降低药物不良反应发生率。 　　关键词 慢性阻塞性肺疾病 稳定期 依从性 药学服务 　　中图分类号：R563 文献标识码：C 文章编号：1006-1533（2018）01-0041-02 　　Effect of pharmacy service on the medication compliance and cognition of patients with stable stage of chronic obstructive pulmonary disease 　　YAN Naifang 　　（Department of Pharmacy， the People’s Hospital of Zhengyang County， Zhengyang 463600， China） 　　ABSTRACT Objective： To analyze the effect of pharmacy service on medication compliance and cognition of patients with chronic obstructive pulmonary disease （COPD） at stable stage. Methods： One hundred and seventy-five cases of patients with COPD were randomly divided into a study group （n=88） and a control group （n=87）. The control group was given the guidance of routine medication while the study group was intervened with clinical pharmacy for 6 months. Results： The proportion of patients with good medication compliance in the study group after intervention was significantly higher than before intervention and that of the control group （92.05% vs 73.56%， P 0.05）. The excellent rates in COPD basic knowledge， correct medication， lifestyle， exercise awareness were higher and the incidence of adverse reactions was lower in the study group than in the control group （P0.05）. Conclusion： The intervention of pharmacy service in the patients with COPD can not only improve the patient’s awareness of disease and the compliance of medication， but also reduce the incidence of adverse drug reactions. 　　KEY WORDS chronic obstructive pulmonary disease； stable stage； compliance； pharmacy services 　　慢性阻塞性肺疾病（COPD）是临床常见病和多发病，主要的临床表现为呼吸困难、咳嗽、头晕等，该病气流受限不完全可逆、呈进行性发展，如不能得到有效治疗，患者会随着疾病的发展而丧失工作能力，严重者甚至引发呼吸衰竭导致死亡[1]。稳定期规范化药物治疗可使C