药师开展药学服务与老年慢性阻塞性肺疾病患者依从性和满意度的相关性研究

目的探讨临床药师开展药学服务对老年慢性阻塞性肺疾病（COPD）患者依从性和满意度的影响以及药学服务路径的建立。方法将2012年7月至12月四川大学华西医院呼吸科诊断为COPD的96例患者随机分为两组，研究组50例，对照组46例。临床药师对研究组患者开展药学服务、建立药学服务路径表、开展患者教育，药师参与患者治疗方案的制订和修改，全程监控患者用药，防止潜在药品不良反应和药物相互作用，对部分重点患者进行药学随访。对照组患者不开展相应药学干预。结果用药数量依从性方面，研究组为（99．97±1．32）％，明显高于对照组的（94．89±8．68）％（P〈0．05）；时间依从性，研究组为（99．50±2．08）％，明显高于对照组的（94．89±8．68）％（P〈0．05）；研究组的满意度也明显超过了对照组（P〈0．05）。研究组用药差错和药品不良反应发生率明显低于对照组（P〈0.05）。结论通过临床药师开展药学服务，患者的依从性大大改善，无论是用药数量的正确性和用药时间的正确性都明显提高，且患者服务满意度也大大提高。

Correlation between Pharmacists Conducting Pharmaceutical Satisfaction in Old Patients with Chronic Obstructive Care with Compliance and Pulmonary Disease

Objective To investigate the effects of the pharmacists conducting the pharmaceutical care on the compliance and satisfaction in old patients of chronic obstructive pulmonary disease（COPD） and the establishment of the pharmaceutical care path. Methods 96 patients with COPD in the respiration department of the West China Hospital from July to December 2012 were redomly divide into 2 groups,50 cases in the research group and 46 cases in the control group. The clinical pharmacists conducted the pharmaceutical care on the research group and established the pharmaceutical care path table, including the patients education, the pharmacists participating in the formulation and modification of the therapy scheme, monitoring the medication in the whole treatment course ,prevention and treatment of potential drug adverse reactions and drug interactions and conducting the pharmaceutical care on some key patients. The control group did not receive corresponding the pharmaceutical intervention. Results The quantity compliance was （99.97 ±1.32） % in the research group and （94.89±8.68）% in the control group（P 〈 0.05）.The time compliance was （99.50±2.08）% in the research group and （94.89 ±8.68）% in the control group （P 〈 0.05）. The patient satisfaction in the research group was significantly exceeded that in the control group（ P 〈 0. 05）. Conclusion Clinical pharmacists conducting the pharmaceutical care in old patients with COPD can greatly improve the patient＇s compliance,significantly increase the correctness of medication quantity and medication time and the patient＇s satisfaction also greatly increased.