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. 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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Evaluation of a novel progressive pharmaceutical care model based on inhaler technique in the disease management of patients with asthma and chronic obstructive pulmonary disease in China

10.21203/rs.2.17744/v1 ◽

2019 ◽

Author(s):

Wanqing Wang ◽

Tao Xu ◽

Qiong Qin ◽

Liyan Miao ◽

Jian'an Bao ◽

...

Keyword(s):

Disease Management ◽

Pharmaceutical Care ◽

Intervention Group ◽

Control Group ◽

Chronic Obstructive ◽

Inhaler Technique ◽

Care Model ◽

Obstructive Pulmonary Disease ◽

Model Based ◽

Copd Patients

Abstract Background: Inhaler device is regarded as the standard treatment for patients with asthma and chronic obstructive pulmonary disease (COPD). However, patients still have errors in performing inhaler devices even after education and training. This study aimed to explore the effective of a novel progressive pharmaceutical care model based on inhaler technique in the disease management of asthma and COPD patients in China. Methods: A prospective intervention study was conducted. 176 enrolled asthma and COPD patients were randomly divided into two groups: 88 in the intervention group and 88 in the control group. The novel progressive pharmaceutical care model included making a brochure, making videos, setting up special drug dispensing window for asthma and COPD patients, face to face demonstration and evaluation, online consultation, and follow up and reevaluation, which was provided for the intervention group participants lasted for 3 months, while the control group patients received usual pharmaceutical care (oral instruction of using inhaler devices was only provided). Outcome measures including rate of clinical effective, incidence of` exacerbation (≥ 2 times), medication adherence, inhaler technique score, rate of correct inhaler usage, and belief about medicines (BMQ) were used to evaluate the pharmaceutical care model. T test and χ2 test were used. Patient satisfaction in the intervention group was surveyed after 3 months. Results: After 3 months’ intervention, the rate of clinical effective, the Morisky Medication Adherence Scale (MMAS-8) score, the inhaler technique score and the rate of correct inhaler usage were higher and the incidence of` exacerbation (≥2 times) and the BMQ score were lower in the intervention group compared with the control group (P<0.00). Besides, the item 1-4, and item 6-7 of patient satisfaction in the intervention group achieved at least 93.18%. Conclusions: The novel progressive pharmaceutical care model based on inhaler technique gave great improvement in the disease management of patients with asthma and COPD. It is proved to be valuable and worthy of further promotion.

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Effects of the Health Belief Model-Based Intervention on Anxiety, Depression, and Quality of Life in Chronic Obstructive Pulmonary Disease

NeuroImmunoModulation ◽

10.1159/000512993 ◽

2021 ◽

pp. 1-8

Author(s):

Yating Zhang ◽

Xiangfang Zhao

Keyword(s):

Quality Of Life ◽

Intervention Group ◽

Health Belief ◽

Anxiety And Depression ◽

Control Group ◽

Chronic Obstructive ◽

Obstructive Pulmonary Disease ◽

Copd Patients ◽

Belief Model

Background: Chronic obstructive pulmonary disease (COPD) is a chronic respiratory condition. COPD causes a heavy burden on the patients through negative impacts on the quality of life and psychological health. The health belief model (HBM) is proposed and modified by several social psychologists and is confirmed to have benefits in the recovery of various diseases. This research aimed to explore the effects of the HBM-based intervention on anxiety, depression, and quality of life in COPD patients entering pulmonary rehabilitation (PR). Methods: This research was conducted at the Tianjin Rehabilitation Recuperate Center of Chinese PLA in 2019. A total of 136 COPD patients were randomized into the intervention group and the control group. In the control group, patients received the PR program. In the intervention group, patients received both PR program and the HBM-based intervention. Quality of life was measured by the COPD assessment test. The outcomes of anxiety and depression were measured by the Hospital Anxiety and Depression Scale. Results: The HBM-based intervention decreased both anxiety and depression scores among COPD patients. The COPD assessment test score was declined by the HBM-based intervention, which also decreased the serum levels of interleukin-6 and C-reactive protein in COPD patients entering PR. Conclusion: The HBM-based intervention alleviates anxiety and depression, enhances quality of life, and inhibits inflammation in COPD patients entering PR.

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IMPROV-ED trial: eHealth programme for faster recovery and reduced healthcare utilisation after CABG

Netherlands Heart Journal ◽

10.1007/s12471-020-01508-9 ◽

2020 ◽

Author(s):

G. J. van Steenbergen ◽

D. van Veghel ◽

J. ter Woorst ◽

D. van Lieshout ◽

L. Dekker

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Controlled Trial ◽

Artery Bypass ◽

Randomised Trial ◽

Intervention Group ◽

Healthcare Utilisation ◽

Control Group ◽

Randomised Controlled

Abstract Background After coronary artery bypass grafting (CABG), healthcare utilisation is high and is partly unplanned. eHealth applications have been proposed to reduce healthcare consumption and to enable patients to get actively involved in their recovery. This way, healthcare expenses can be reduced and the quality of care can be improved. Objectives We aim to evaluate whether the use of an eHealth programme can reduce unplanned healthcare utilisation and improve mental and physical health in the first 6 weeks after discharge in patients who underwent CABG. In addition, patient satisfaction and use of the eHealth programme will be evaluated. Methods For this single-centre randomised controlled trial, at least 280 patients referred for CABG will be included at the preoperative outpatient clinic and randomised to an intervention or control group. The intervention group will have access to an eHealth programme, which consists of online educational videos developed by the Dutch Heart Foundation and postoperative video consultations with a physician. The control group will receive standard care and will not have access to the eHealth programme. The primary endpoint is healthcare utilisation; other endpoints include anxiety, duration of recovery, quality of life and patient satisfaction. Participants will complete several questionnaires at 6 time points during the study. Results Patient enrolment started in February 2020 and completion of the follow-up period is expected in August 2021. Conclusion This randomised trial was initiated to test the hypothesis that patients who are partaking in our eHealth programme use less unplanned care and experience a better quality of life, less anxiety and a faster recovery than controls.

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Impact of a Pharmaceutical Care Program in a Community Pharmacy on Patients with Dyslipidemia

Annals of Pharmacotherapy ◽

10.1345/aph.1e347 ◽

2005 ◽

Vol 39 (5) ◽

pp. 939-943 ◽

Cited By ~ 38

Author(s):

Claudio P Paulós ◽

Carin E Akesson Nygren ◽

Consuelo Celedón ◽

Carina A Cárcamo

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Community Pharmacy ◽

Pharmaceutical Care ◽

Triglyceride Level ◽

Intervention Group ◽

Care Program ◽

Blood Cholesterol ◽

Control Group

BACKGROUND: Inappropriate use of medications is a significant problem in health care today. A possible solution to this problem may be achieved through better control of patients' drug therapy. OBJECTIVE: To design a pharmaceutical care program for dyslipidemic patients within a community pharmacy setting that provides education in the areas of medication compliance and lifestyle modifications, while emphasizing the importance of achieving cholesterol goals to ensure improvement in quality of life. METHODS: Patients at an outpatient pharmacy volunteered to be surveyed for 16 weeks. Although both the intervention and control groups were surveyed, the randomly selected intervention group was interviewed more frequently and more comprehensively. Cholesterol, triglycerides, glucose, weight, risk factors, drug-related problems (DRPs), and quality of life were measured via a survey at the onset of the study and continually measured until the study's conclusion. RESULTS: In the intervention group, 26 DRPs were detected, of which 24 were resolved; in the control group, 26 DRPs were detected, of which 5 were resolved. When comparing initial and final blood cholesterol levels in the intervention group, the mean decrease was 27.0 ± 41.1 mg/dL (p = 0.0266); in the control group, the average blood cholesterol level decreased by a mean of 1.4 ± 37.2 mg/dL (p = 0.6624). In the intervention group, the triglyceride level decreased an average of 50.5 ± 80.3 mg/dL (p = 0.0169), while the control group experienced a mean triglyceride level increase of 29.6 ± 118.5 mg/dL (p = 0.1435). As a result of the intervention, the quality of life in the intervention group was improved. CONCLUSIONS: Short-term pharmaceutical care plans developed in a retail pharmacy within the proper setting may contribute to improved blood lipid values, cardiovascular disease risk factors, and patients' quality of life.

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Effect of “Modular” Nursing Intervention on the Therapeutic Effect of Ranoxifene on Postmenopausal Osteoporosis

E3S Web of Conferences ◽

10.1051/e3sconf/202018503022 ◽

2020 ◽

Vol 185 ◽

pp. 03022

Author(s):

Yang Guo ◽

XiaoJie Sun ◽

Miao Tai ◽

Fang Liu ◽

XiaoWei Liu ◽

...

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Postmenopausal Osteoporosis ◽

Negative Emotion ◽

Intervention Group ◽

Life Quality ◽

Nursing Intervention ◽

Routine Care ◽

Control Group

the purpose of this study was to explore the effect of “modular” nursing intervention on Ranoxifene in the treatment of patients with postmenopausal osteoporosis. A total of 108 patients with postmenopausal osteoporosis who were accepted by the Department of Orthopaedics in our hospital were selected as the research objects. According to the random number table method and they were divided into two groups (the intervention group and the control group), 54 cases in each group. The control group was given routine care, while the other was given “modular” interventional care. The patient satisfaction, adverse mood changes and quality of life changes in the two groups was observed in the treatment. The results of this study showed that the nursing satisfaction of the patients in the intervention group was significantly higher than that in the control group; however, the negative emotion of the two groups of patients after care were lower than that before the care, and the degree of reduction in the intervention group was significantly higher than that of the control group; the life quality of patient in the two groups was improved than before nursing, and the degree of improvement in the intervention group was significantly higher than that in the control group. Therefore, the clinical application of Raloxifene in the treatment of postmenopausal osteoporosis patients with “modular” nursing intervention can improve patient satisfaction, relieve negative emotions, and improve quality of life.

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Impact of telephone monitoring on cancer patients undergoing esophagectomy and gastrectomy

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2019023003679 ◽

2021 ◽

Vol 55 ◽

Author(s):

Daniele da Silva Salgado Oliveira ◽

Ulysses Ribeiro Junior ◽

Natalia de Araújo Sartório ◽

André Roncon Dias ◽

Flávio Roberto Takeda ◽

...

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Cancer Patients ◽

Intervention Group ◽

Controlled Study ◽

Control Group ◽

Emergency Center ◽

Significant Difference ◽

Telephone Monitoring

ABSTRACT Objective: To evaluate telephone monitoring for symptoms, quality of life, distress, admissions to the emergency center and the satisfaction of cancer patients undergoing esophagectomy and gastrectomy. Method: Randomized controlled study in two groups, carried out at the Cancer Institute of the State of Sao Paulo; the intervention group received telephone monitoring for four moments after the surgery, while the control group received only institutional care. Results: Of the 81 patients evaluated, the domain most affected by quality of life was social relationships domain. Distress had no significant difference between groups and moments. In both groups, admissions to the emergency center were similar (p=0.539). Pain was the most reported symptom in telephone monitoring. There was statistical significance regarding patient satisfaction with monitoring (p=0.002). Conclusion: Telephone monitoring provided greater patient satisfaction in the intervention group, demonstrating the real impact of this process on the care of cancer patients.

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Physical Activity and Sport for Acquired Brain Injury (PASABI): A Non-Randomized Controlled Trial

Medicina ◽

10.3390/medicina57020122 ◽

2021 ◽

Vol 57 (2) ◽

pp. 122

Author(s):

Marta Pérez-Rodríguez ◽

Saleky García-Gómez ◽

Javier Coterón ◽

Juan José García-Hernández ◽

Javier Pérez-Tejero

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Brain Injury ◽

Functional Capacity ◽

Intervention Group ◽

Chronic Phase ◽

Acquired Brain Injury ◽

Control Group ◽

Wide Range

Background and objectives: Acquired brain injury (ABI) is the first cause of disability and physical activity (PA) is a key element in functional recovery and health-related quality of life (HRQoL) during the subacute and chronic phases. However, it is necessary to develop PA programs that respond to the heterogeneity and needs of this population. The aim of this study was to assess the effectiveness of a PA program on the HRQoL in this population. Materials and Methods: With regard to recruitment, after baseline evaluations, participants were assigned to either the intervention group (IG, n = 38) or the control group (CG, n = 35). Functional capacity, mood, quality of life and depression were measured pre- and post-intervention. The IG underwent the “Physical Activity and Sport for Acquired Brain Injury” (PASABI) program, which was designed to improve HRQoL (1-h sessions, two to four sessions/week for 18 weeks). The CG underwent a standard rehabilitation program without PA. Results: Results for the IG indicated significant differences and large effect sizes for the physical and mental dimensions of quality of life, as well as mood and functional capacity, indicating an increase in HRQoL. No significant differences were found for the CG across any variables. Conclusions: The PASABI program was feasible and beneficial for improving physiological and functionality variables in the IG. The wide range of the activities of the PASABI program allow its application to a large number of people with ABI, promoting health through PA, especially in the chronic phase.

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Implementation and effectiveness of a multi-domain program for older adults at risk of cognitive impairment at neighborhood senior centres

Scientific Reports ◽

10.1038/s41598-021-83408-5 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Pei Ern Mary Ng ◽

Sean Olivia Nicholas ◽

Shiou Liang Wee ◽

Teng Yan Yau ◽

Alvin Chan ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

At Risk ◽

Cognitive Impairment ◽

Mobile Application ◽

Intervention Group ◽

Blood Parameters ◽

Attrition Rate ◽

Control Group

AbstractTo address the paucity of research investigating the implementation of multi-domain dementia prevention interventions, we implemented and evaluated a 24-week, bi-weekly multi-domain program for older adults at risk of cognitive impairment at neighborhood senior centres (SCs). It comprised dual-task exercises, cognitive training, and mobile application-based nutritional guidance. An RCT design informed by the Reach, Effectiveness, Adoption, Implementation, Maintenance framework was adopted. Outcome measures include cognition, quality of life, blood parameters, and physical performance. Implementation was evaluated through questionnaires administered to participants, implementers, SC managers, attendance lists, and observations. The program reached almost 50% of eligible participants, had an attrition rate of 22%, and was adopted by 8.7% of the SCs approached. It was implemented as intended; only the nutritional component was re-designed due to participants’ unfamiliarity with the mobile application. While there were no between-group differences in cognition, quality of life, and blood parameters, quality of life reduced in the control group and physical function improved in the intervention group after 24 weeks. The program was well-received by participants and SCs. Our findings show that a multi-domain program for at-risk older adults has benefits and can be implemented through neighborhood SCs. Areas of improvement are discussed.Trial registration: ClinicalTrials.gov NCT04440969 retrospectively registered on 22 June 2020.

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A randomized trial of the effect of peer education on the sexual quality of life in patients with myocardial infarction

Journal of Complementary and Integrative Medicine ◽

10.1515/jcim-2019-0204 ◽

2020 ◽

Vol 17 (3) ◽

Author(s):

Ali Abbasi ◽

Hossein Ebrahimi ◽

Hossein Bagheri ◽

Mohammad Hasan Basirinezhad ◽

Seyedmohammad Mirhosseini ◽

...

Keyword(s):

Quality Of Life ◽

Myocardial Infarction ◽

Health Care Professionals ◽

Peer Education ◽

Intervention Group ◽

Control Group ◽

Controlled Clinical Trial ◽

Sexual Quality Of Life ◽

Significant Difference

AbstractBackgroundOne of the factors associated with readmission is inappropriate sexual activity after myocardial infarction (MI). This study aimed to assess the effect of peer education on the sexual quality of life (SQOL) in patients with MI.MethodsIn this randomized controlled clinical trial, 70 patients with MI meeting the inclusion criteria were assigned to experimental or control groups using block randomization. Peer education for the intervention group was provided on the third day after MI. Education sessions lasted from 90 to 120 minutes. Data were collected using demographic, sexual quality of life-female (SQOL-F), and sexual quality of life-male (SQOL-M) questionnaires during the fourth week after MI.ResultsThere was no significant difference between the two groups before the intervention in terms of demographic and SQOL. The mean of SQOL in the peer education group was significantly higher than the control group at the 4-week follow-up.ConclusionsAccording to the results, using peer education is recommended for the sexual health care professionals.

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Asthma in Adolescents: A Randomized, Controlled Trial of an Asthma Program for Adolescents and Young Adults with Severe Asthma

Canadian Respiratory Journal ◽

10.1155/2002/106262 ◽

2002 ◽

Vol 9 (4) ◽

pp. 253-259 ◽

Cited By ~ 21

Author(s):

Robert L Cowie ◽

Margot F Underwood ◽

Cinde B Little ◽

Ian Mitchell ◽

Sheldon Spier ◽

...

Keyword(s):

Quality Of Life ◽

Emergency Department ◽

Randomized Controlled Trial ◽

Asthma Control ◽

Controlled Trial ◽

Intervention Group ◽

Control Group ◽

Randomized Controlled ◽

Disease Specific

BACKGROUND: Asthma is common and is often poorly controlled in adolescent subjects.OBJECTIVE: To determine the impact of an age-specific asthma program on asthma control, particularly on exacerbations of asthma requiring emergency department treatment, and on the quality of life of adolescents with asthma.METHODS: The present randomized, controlled trial included patients who were 15 to 20 years of age and had visited emergency departments for management of their asthma. The interventional group attended an age-specific asthma program that included assessment, education and management by a team of asthma educators, respiratory therapists and respiratory physicians. In the control group, spirometry was performed, and the patients continued to receive usual care from their regular physicians. The outcomes were assessed by a questionnaire six months after entry into the study.RESULTS: Ninety-three subjects entered the study and were randomly assigned to the intervention or control group. Of these, only 62 patients were available for review after six months. Subjects in both the control and the intervention groups showed a marked improvement in their level of asthma control, reflected primarily by a 73% reduction in the rate of emergency department attendance for asthma. Other indexes of disease control, including disease-specific quality of life, as assessed by questionnaires, were improved. There was, however, no discernible difference between the subjects in the two groups, with the exception of an improvement in favour of the intervention group in the symptom (actual difference 0.7, P=0.048) and emotional (actual difference 0.8, P=0.028) domains of the asthma quality of life questionnaire. The overall quality of life score favoured the intervention group by a clinically relevant difference of 0.6, but this difference did not reach statistical significance (P=0.06).CONCLUSIONS: Although all subjects demonstrated a significant improvement in asthma control and quality of life, the improvement attributable to this intervention was limited to two domains in disease-specific quality of life.

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