Effect of a Multidimensional Pharmaceutical Care Intervention on Inhalation Technique in Patients with Asthma and COPD

Background. Inhalation therapy is the main treatment for asthma and chronic obstructive pulmonary disease (COPD) patients. Owing to the poor inhaler technique in using inhalers, we assessed the effect of a multidimensional pharmaceutical care on inhalation technique in patients with asthma and COPD....

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Main Authors: Wanqing Wang, Tao Xu, Qiong Qin, Liyan Miao, Jian’an Bao, Rong Chen
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2020/8572636
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author Wanqing Wang
Tao Xu
Qiong Qin
Liyan Miao
Jian’an Bao
Rong Chen
author_facet Wanqing Wang
Tao Xu
Qiong Qin
Liyan Miao
Jian’an Bao
Rong Chen
author_sort Wanqing Wang
collection DOAJ
description Background. Inhalation therapy is the main treatment for asthma and chronic obstructive pulmonary disease (COPD) patients. Owing to the poor inhaler technique in using inhalers, we assessed the effect of a multidimensional pharmaceutical care on inhalation technique in patients with asthma and COPD. Materials and Methods. A 3-month controlled parallel-group study was undertaken in asthma and COPD patients using dry powder inhalers (DPIs). Patients in the intervention group received multidimensional pharmaceutical care, including establishment of a special dispensing window, face-to-face demonstration and education, brochure education, videos education, online consultation and education, and follow-up reeducation. Patients in the control group received usual pharmaceutical care. The inhaler technique score, correctness of inhaler usage, beliefs about medicines questionnaire (BMQ) score, asthma control test (ACT), and COPD assessment test (CAT) were measured pre- and postintervention. Quality of life improvement evaluated according to score changes of ACT in asthma and CAT in COPD and patient satisfaction were measured postintervention. Results. 259 patients finished the study with 133 in the intervention group and 126 in the control group. Compared to preintervention and control group postintervention, the inhaler technique score, correctness of inhaler usage, and ACT score significantly increased in the intervention group postintervention, while the BMQ score and CAT score decreased significantly P<0.05. Significant improvements in quality of life and patient satisfaction were found P<0.05. Conclusion. This study showed the multidimensional pharmaceutical care for asthma and COPD patients were effective in improving inhalation technique. By providing pharmaceutical care, pharmacists might help asthma and COPD patients to acquire better quality of life.
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spelling doaj-art-e6c9a0d5f3f44c78947834c40e919e762025-08-20T03:26:03ZengWileyCanadian Respiratory Journal1198-22411916-72452020-01-01202010.1155/2020/85726368572636Effect of a Multidimensional Pharmaceutical Care Intervention on Inhalation Technique in Patients with Asthma and COPDWanqing Wang0Tao Xu1Qiong Qin2Liyan Miao3Jian’an Bao4Rong Chen5Department of Pharmacy, First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu, ChinaDepartment of Pharmacy, First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu, ChinaDepartment of Pharmacy, First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu, ChinaDepartment of Pharmacy, First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu, ChinaDepartment of Pharmacy, First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu, ChinaDepartment of Pharmacy, First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu, ChinaBackground. Inhalation therapy is the main treatment for asthma and chronic obstructive pulmonary disease (COPD) patients. Owing to the poor inhaler technique in using inhalers, we assessed the effect of a multidimensional pharmaceutical care on inhalation technique in patients with asthma and COPD. Materials and Methods. A 3-month controlled parallel-group study was undertaken in asthma and COPD patients using dry powder inhalers (DPIs). Patients in the intervention group received multidimensional pharmaceutical care, including establishment of a special dispensing window, face-to-face demonstration and education, brochure education, videos education, online consultation and education, and follow-up reeducation. Patients in the control group received usual pharmaceutical care. The inhaler technique score, correctness of inhaler usage, beliefs about medicines questionnaire (BMQ) score, asthma control test (ACT), and COPD assessment test (CAT) were measured pre- and postintervention. Quality of life improvement evaluated according to score changes of ACT in asthma and CAT in COPD and patient satisfaction were measured postintervention. Results. 259 patients finished the study with 133 in the intervention group and 126 in the control group. Compared to preintervention and control group postintervention, the inhaler technique score, correctness of inhaler usage, and ACT score significantly increased in the intervention group postintervention, while the BMQ score and CAT score decreased significantly P<0.05. Significant improvements in quality of life and patient satisfaction were found P<0.05. Conclusion. This study showed the multidimensional pharmaceutical care for asthma and COPD patients were effective in improving inhalation technique. By providing pharmaceutical care, pharmacists might help asthma and COPD patients to acquire better quality of life.http://dx.doi.org/10.1155/2020/8572636
spellingShingle Wanqing Wang
Tao Xu
Qiong Qin
Liyan Miao
Jian’an Bao
Rong Chen
Effect of a Multidimensional Pharmaceutical Care Intervention on Inhalation Technique in Patients with Asthma and COPD
Canadian Respiratory Journal
title Effect of a Multidimensional Pharmaceutical Care Intervention on Inhalation Technique in Patients with Asthma and COPD
title_full Effect of a Multidimensional Pharmaceutical Care Intervention on Inhalation Technique in Patients with Asthma and COPD
title_fullStr Effect of a Multidimensional Pharmaceutical Care Intervention on Inhalation Technique in Patients with Asthma and COPD
title_full_unstemmed Effect of a Multidimensional Pharmaceutical Care Intervention on Inhalation Technique in Patients with Asthma and COPD
title_short Effect of a Multidimensional Pharmaceutical Care Intervention on Inhalation Technique in Patients with Asthma and COPD
title_sort effect of a multidimensional pharmaceutical care intervention on inhalation technique in patients with asthma and copd
url http://dx.doi.org/10.1155/2020/8572636
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