Effect of Pharmacist-Led Training on Adherence and Practice of Inhaler Use: A Pre-Post Interventional Study in Outpatients With Asthma at Hue University Hospital.

Autor: Anh Dang Thuc Phan, Thi Kim Cuc Ngo, Chi Van Le, Phuoc Bich Ngoc Nguyen, Nhi Nguyen-Thi-Y, Thi Hong Phuong Vo
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Zdroj: Senior Care Pharmacist; Feb2024, Vol. 39 Issue 2, p78-86, 9p
Abstrakt: OBJECTIVE: This study aimed to evaluate the impact of a pharmacist-led intervention on improving adherence and practice of inhaler use in outpatients with asthma at a hospital in Vietnam. METHODS: A pre-post interventional study was conducted at Hue University Hospital. An adapted checklist for both metered-dose inhalers and/or dry powder inhalers was used to evaluate the inhaler technique. Adherence was assessed by using the Test of Adherence to Inhalers questionnaire. The means of interventions comprised "Face-to-face training," "Creating the leaflet for patients," and "Watching guidance video.". RESULTS: The number of participants with complete data was 79. Before the intervention, 54.4% of patients had misused inhalers, especially inappropriate posture when using devices (70.2%) and not exhaling before inhalation (46.8%). Non-adherence accounted for 55.7% of patients, and the erratic pattern was the highest, with 83.5%. The intervention had remarkably raised the number of good practice and good adherence patients after three months (P < 0.001). CONCLUSION: Pharmacist-led intervention has a positive impact on improving the adherence to inhalers and inhalation techniques of patients with asthma. PRACTICE IMPLICATIONS: The pharmacist-led education model could be considered as an effective and feasible solution for asthma management in outpatients and better medication use. [ABSTRACT FROM AUTHOR]
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