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Impact of community pharmacists' interventions on asthma self-management care

Само за регистроване кориснике
2018
Аутори
Kovačević, Milena
Ćulafić, Milica
Jovanović, Marija
Vučićević, Katarina
Vezmar-Kovačević, Sandra
Miljković, Branislava
Чланак у часопису (Објављена верзија)
Метаподаци
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Апстракт
Background: Asthma self-management is aimed to improve the quality and effectiveness of asthma care by supporting the patients to manage their illness by themselves. Objective: The aim of the study was to evaluate the impact of pharmacist-delivered counselling on patients knowledge and beliefs about the medicines, adherence level, and asthma control. Methods: A prospective intervention study was conducted in community pharmacies. A total of 90 patients completed the study. Four questionnaires were used: (1) Beliefs about medicines questionnaire (BMQ), (2) Knowledge of asthma and asthma medicine (KAM), (3) Asthma control test (ACT), and (4) 8-item Morisky medication adherence scale questionnaire (MMAS-8). Questionnaires were completed at baseline and 3 months later. Results: Low level of adherence and poor asthma control were determined initially. Better asthma control was significantly associated with higher adherence level, lower concerns regarding the medication use, and knowledge of... triggers. Statistically significant improvement was found after 3 months in patients knowledge of asthma and its medications, their attitude towards medications (decrease in harm, overuse and concern; increase in necessity score), asthma control score (increased from 19 to 20, p lt 0.05) and level of adherence (MMAS-8 score decreased from 3 to 2 p lt 0.05). Better asthma control was achieved in 60% of patients. Sixteen patients (18%) were transferred from poor to well-controlled asthma, implying no need for patients' referral to the doctor and no additional cost for the health system. Conclusions: Improved disease control could be a result of enhanced knowledge and understanding of the disease-medication relationship, improved inhalation technique, and support on patients' adherence. Acquired knowledge and skills, as well as improved attitude, empowered patients to take a more active part in asthma management. Education in further patients' follow-up should consider topics tailored to the patients' characteristics, needs, and prior counselling schedule with issues discussed.

Кључне речи:
Asthma / Education / Pharmacy / Adherence / Beliefs / Knowledge
Извор:
Respiratory Medicine, 2018, 14, 6, 603-611
Издавач:
  • Elsevier Science Inc, New York
Пројекти:
  • Базична и клиничко-фармаколошка истраживања механизама дејства и интеракција лекова у нервном и кардиоваскуларном систему (RS-175023)

DOI: 10.1016/j.sapharm.2017.07.007

ISSN: 1551-7411

PubMed: 28778676

WoS: 000434970900026

Scopus: 2-s2.0-85026505085
[ Google Scholar ]
9
9
URI
http://farfar.pharmacy.bg.ac.rs/handle/123456789/3228
Колекције
  • Radovi istraživača / Researchers’ publications
Институција
Pharmacy

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