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The Role of the Pharmacist in Inhaler Selection and Education in Chronic Obstructive Pulmonary Disease

机译:药剂师在慢性阻塞性肺病中吸入和教育中的作用

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Objective: To review the role of pharmacists in educating and monitoring patients with chronic obstructive pulmonary disease (COPD) on inhalation technique. Data Sources: A PubMed search (January 2000 to May 2020) was performed using the following keywords and associated medical subject headings: adherence, chronic obstructive pulmonary disease/COPD, education, inhaler, pharmacist, and technique. Study Selection and Data Extraction: The search was conducted to identify English language articles highlighting the importance of correct inhaler technique in COPD management and benefits of pharmacist inhaler training such as improved adherence, quality of life (QoL), and disease control. Randomized controlled trials, retrospective studies, observational studies, systematic reviews, and meta-analysis reporting pharmacist training were included. Data Synthesis: This review summarizes that incorrect inhaler use negatively affects treatment outcomes, prognosis, and QoL. Pharmacists are in a unique position to educate and monitor patients with COPD on optimal inhaler technique and an individualized, multifactorial approach to COPD management involving pharmacists could provide cost-effective patient care and improve adherence and minimize inhaler misuse. Several strategies used by pharmacists can optimize patient inhaler use, such as face-to-face technique demonstrations, the “teach-back” method, telemonitoring, instructional videos, or informational leaflets. An individualized action plan involving education and regular monitoring of inhaler use further enhances optimal adherence and disease management. Conclusions: As pharmacists are easily accessible to both patients and health care providers, they are ideally placed to play an important role in the enhancement of education on, and continuous assessment of, optimal inhaler technique, thereby improving adherence, disease control, and QoL.
机译:目的:回顾药师在慢性阻塞性肺疾病(COPD)患者吸入技术教育和监测中的作用。数据来源:使用以下关键词和相关医学主题进行PubMed搜索(2000年1月至2020年5月):依从性、慢性阻塞性肺疾病/COPD、教育、吸入器、药剂师和技术。研究选择和数据提取:进行搜索是为了识别英文文章,强调正确的吸入器技术在COPD管理中的重要性,以及药剂师吸入器培训的益处,如改善依从性、生活质量(QoL)和疾病控制。包括随机对照试验、回顾性研究、观察性研究、系统评价和荟萃分析报告药师培训。资料综合:本综述总结了不正确使用吸入器对治疗结果、预后和生活质量的负面影响。药剂师在对COPD患者进行最佳吸入器技术教育和监测方面处于独特的地位,药剂师参与的个体化、多因素COPD管理方法可以提供成本效益高的患者护理,提高依从性,减少吸入器滥用。药剂师使用的几种策略可以优化患者吸入器的使用,例如面对面技术演示、“回教”方法、远程监控、教学视频或信息传单。包括教育和定期监测吸入器使用情况的个性化行动计划进一步提高了最佳依从性和疾病管理。结论:由于药剂师对患者和医疗服务提供者都很容易接触,他们在加强最佳吸入器技术的教育和持续评估方面处于理想的位置,从而提高依从性、疾病控制和生活质量。

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