中国药房2016，Vol.27Issue(35)：5011-5013,5014,4.DOI:10.6039/j.issn.1001-0408.2016.35.39
品管圈在提高门诊哮喘/COPD患者吸入装置使用依从性中的应用
Application of QCC in Improving the Compliance of Asthma/COPD Outpatients Handling Inhaler Devices
摘要
Abstract
OBJECTIVE:To evaluate the effects of quality control circle(QCC)in improving the compliance of asthma/COPD outpatients handling inhaler devices. METHODS:By simple random sampling method,90 asthma/COPD outpatients receiving Tiotropium bromide powder for inhalantion,Salmeterol xinafoate and fluticasone propionate powder for inhalantion and Budesonide and formoterol fumarate powder for inhalantion were selected from our hospital during Apr. to Nov. 2015. The reasons for poor com-pliance of handling inhaler devices were analyzed by QCC. The countermeasures were formulated to improve the compliance,in-cluding clinical pharmacist education,follow-up,issuing education manuals,developing WeChat consulting. Operation step score of inhaler devices,compliance score and activity ability score of QCC members were analyzed statistically before and after QCC. RESULTS:After the development of QCC,operation step score of inhaler devices and compliance score in 90 asthma/COPD outpa-tients increased from 7.7 and 7.7 before activity to 8.8 and 9.3 after activity,the achievable rate of compliance was 114.3%,and the improvement rate was 20.8%. The sense of honor,responsibility,self-confidence,QCC techniques,communication and coordi-nation,team cohesion of all members were all improved obviously. CONCLUSIONS:QCC activity improves the compliance of asthma/COPD outpatients handling inhaler devices and shows the professional service level of clinical pharmacists,which is of sig-nificance to the improvement of pharmaceutical care.关键词
品管圈/临床药师/药学服务/哮喘/慢性阻塞性肺疾病/吸入装置/依从性Key words
Quality control circle/Clinical pharmacists/Pharmaceutical care/Asthma/COPD/Inhaler device/Compliance分类
医药卫生引用本文复制引用
边诣聪,陈蓉,秦琼,顾宝晨,顾继红,包健安,缪丽燕..品管圈在提高门诊哮喘/COPD患者吸入装置使用依从性中的应用[J].中国药房,2016,27(35):5011-5013,5014,4.基金项目
江苏省卫生计生委预防医学科研课题（No. Y2015068）；江苏省药学会-百特生物药学基金科研项目 （）
