YAKHAK HOEJI (약학회지)

The Pharmaceutical Society of Korea (대한약학회)
권호 표지

The Analysis of the Outcome of Standardized Hospital Pharmacist Training and Repeated Asthma Patient Education

천식환자에 대한 표준화된 병원약사대상 교육과 반복적인 환자대상 복약지도를 통한 성과 분석

  • Kim, Su-Jin (Department of Pharmacy, Seoul, ST. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Sung-Mok (SahmYook Medical Center Pharmacy) ;
  • Choi, Byung-Chul (Health Insurance Review and Assessment Service) ;
  • Sohn, Uy-Dong (Department of Hospital and Clinical Pharmacy, Graduate School of Food and Drug Administration, Chung-Ang University)
  • 김수진 (가톨릭대학교 서울성모병원 약제부) ;
  • 김성목 (삼육서울병원 약무과) ;
  • 최병철 (건강보험심사평가원) ;
  • 손의동 (중앙대학교 의약식품대학원 병원임상약학)
  • Received : 2010.02.25
  • Accepted : 2010.11.24
  • Published : 2010.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Training for asthma patients by professionals has been highly emphasized for patients' self-management. In the present study, three standardized training sessions targeting hospital pharmacists were performed. On the basis of the number of training sessions taken, a non-educated group (CG), an once-educated group (NG), and a twice more-educated group (IG) were allocated. The most frequent errors of using an inhalant were shaking before the use in MDI while taking breathe out before inhaling in the case of DPI, and the total average number of errors were the biggest for CG and the smallest in IG. On comparison in the number of the four symptoms of asthma according to the level of seriousness, it was revealed that the total average number was the biggest in CG and the smallest in IG. In the level of awareness regarding the contents of training for patients, patients over 50 tended to answer that they were aware of education contents, and particularly in mouth rinsing and the use before/after a meal, significant similarity was examined. Regular asthma patient training performed by hospital pharmacists appeared to reduce errors in the inhaler usage, increase the quality of life of an patient, and help a patient remember the contents of the training. Especially among patients over 50, it was found to be more effective and retraining of more than two sessions was requisite.

Keywords

References

  1. 인용원 : 흡입기 사용에 있어서의 복약이행도 분석. 병원약사회지 20, 1 (2003).
  2. Jones, M. A. : Asthma self-management patient education. Respir. Care. 53, 778 (2008).
  3. Steurer-Stey, C., Fletcher, M., Vetter, W. and Steurer, J. : Patient education in asthma: A survey of physicians' knowledge of the principles and implementation of self management in practice. Swiss Med Wkly 136, 561 (2006).
  4. Barbanel, D., Eldridge, S. and Griffiths, C. : Can a selfmanagement programme delivered by a community pharmacist improve asthma control? A randomised trial. Thorax 58, 851 (2003). https://doi.org/10.1136/thorax.58.10.851
  5. Bateman, E. D., Hurd, S. S., Barnes, P. J., Bousquet, J., Drazen, J. M., FitzGerald, M., Gibson, P., Ohta, K., O'Byrne, P., Pedersen, S. E., Pizzichini, E., Sullivan, S. D., Wenzel, S. E. and Zar, H. J. : Global strategy for asthma management and prevention: GINA executive summary. Eur. Respir. J. 31, 143 (2008). https://doi.org/10.1183/09031936.00138707
  6. Urbano, F. L. : Review of the NAEPP 2007 expert panel report (EPR-3) on asthma diagnosis and treatment guidelines. J. Manag. Care. Pharm. 14, 41 (2008).
  7. Levy, M. L., Thomas, M., Small, I., Pearce, L., Pinnock, H. and Stephenson, P. : Summary of the 2008 BTS/SIGN british guideline on the management of asthma. Prim. Care. Respir. J. 18 Suppl 1 (2009).
  8. 이양근 : 천식의 교육과 예방. 천식 및 알레르기 5, 47 (1996).
  9. Souza, M. L., Meneghini, A. C., Ferraz, E., Vianna, E. O. and Borges, M. C. : Knowledge of and technique for using inhalation devices among asthma patients and COPD patients. J. Bras. Pneumol. 35, 824 (2009). https://doi.org/10.1590/S1806-37132009000900002
  10. 박소연, 조유숙, 지형석, 이재천, 김윤이, 이태훈, 이창근, 유빈, 문희범 : 기관지천식 환자의 흡입제 사용 수행 평가. 천식 및 알레르기 23, 781 (2003).
  11. Lavorini, F., Magnan, A., Dubus, J. C., Voshaar, T., Corbetta, L., Broeders, M., Dekhuijzen, R., Sanchis, J., Viejo, J. L., Barnes, P., Corrigan, C., Levy, M. and Crompton, G. K. : Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD. Respir. Med. 102, 593 (2008). https://doi.org/10.1016/j.rmed.2007.11.003
  12. 윤성한 : 일반약국의 복약지도방법에 따른 복약순응도의 평가. 숙명여자대학교 임상약학대학원 석사학위논문 (2002).
  13. 정선희 : 천식환자 복약지도. 병원약사회지 19, 224 (2002).
  14. Jackevicius, C. A. and Chapman, K. R. : Inhaler education for hospital-based pharmacists: How much is required? Can. Respir. J. 6, 237 (1999). https://doi.org/10.1155/1999/695365
  15. Partridge, M. R. : Delivering optimal care to the person with asthma: What are the key components and what do we mean by patient education? Eur. Respir. J. 8, 298 (1995). https://doi.org/10.1183/09031936.95.08020298
  16. Basheti, I. A., Reddel, H. K., Armour, C. L. and Bosnic- Anticevich, S. Z. : Counseling about turbuhaler technique: Needs assessment and effective strategies for community pharmacists. Respir. Care. 50, 617 (2005).
  17. Clifford, S., Barber, N., Elliott, R., Hartley, E. and Horne, R. : Patient-centred advice is effective in improving adherence to medicines. Pharm. World Sci. 28, 165 (2006). https://doi.org/10.1007/s11096-006-9026-6
  18. 한국 성인 천식의 진료 지침. 대한 천식 및 알레르기 학회. (2007). Available at: http://www.allergy.or.kr/file/guide-line_01. pdf.
  19. Stoloff, S. : Current asthma management: The performance gap and economic consequences. Am. J. Manag. Care. 6, 918 (2000).
  20. Barr, R. G., Somers, S. C., Speizer, F. E. and Camargo, C. A. Jr. : National Asthma Education and Prevention Program (NAEPP). Patient factors and medication guideline adherence among older women with asthma. Arch. Intern. Med. 162, 1761 (2002). https://doi.org/10.1001/archinte.162.15.1761
  21. McLean, W., Gillis, J. and Waller, R. : The BC community pharmacy asthma study: A study of clinical, economic and holistic outcomes influenced by an asthma care protocol provided by specially trained community pharmacists in british columbia. Can. Respir. J. 10, 195 (2003). https://doi.org/10.1155/2003/736042
  22. Basheti, I. A., Armour, C. L., Bosnic-Anticevich, S. Z. and Reddel, H. K. : Evaluation of a novel educational strategy, including inhaler-based reminder labels, to improve asthma inhaler technique. Patient. Educ. Couns. 72, 26 (2008). https://doi.org/10.1016/j.pec.2008.01.014
  23. Pont, L. G., van der Molen, T., Denig, P. and van der Werf, G. T. : Haaijer-Ruskamp FM. Relationship between guideline treatment and health-related quality of life in asthma. Eur. Respir. J. 23, 718 (2004). https://doi.org/10.1183/09031936.04.00065204
  24. Verver, S., Poelman, M., Bogels, A., Chisholm, S. L. and Dekker, F. W. : Effects of instruction by practice assistants on inhaler technique and respiratory symptoms of patients. A controlled randomized videotaped intervention study. Fam. Pract. 13, 35 (1996). https://doi.org/10.1093/fampra/13.1.35
  25. Bheekie, A., Syce, J. A. and Weinberg, E. G. : Peak expiratory flow rate and symptom self-monitoring of asthma initiated from community pharmacies. J. Clin. Pharm. Ther. 26, 287 (2001). https://doi.org/10.1046/j.1365-2710.2001.00361.x
  26. Dolovich, L., Sabharwal, M., Agro, K., Foster, G., Lee, A., McCarthy, L. and Willan, A. R. : The effect of pharmacist education on asthma treatment plans for simulated patients. Pharm. World Sci. 29, 228 (2007). https://doi.org/10.1007/s11096-006-9080-0
  27. Vainio, K. K., Korhonen, M. J., Hirvonen, A. M. and Enlund, K. H. : The perceived role and skills of pharmacists in asthma management after in-house training. Pharm. World Sci. 23, 6 (2001). https://doi.org/10.1023/A:1011296628830
  28. Self, T. and Nolan, S. : Long-term management of asthma: How to improve outcomes. Am. J. Manag. Care. 3, 1425 (1997).
  29. Diamod, S. A. and Chapman, K. R. : The impact of a nationally coordinated pharmacy-based asthma education intervention. Can. Respir. J. 8, 261 (2001). https://doi.org/10.1155/2001/380485
  30. 이명복 : 천식 환자에 있어서 최대호기 유속의 자가 모니터링을 이용한 복약지도의 유용성. 숙명여자대학교 임상약학대학원 석사학위논문 (1999).