Child and caregiver reported problems in using asthma medications and question-asking during paediatric asthma visits.
Child and caregiver reported problems in using asthma medications and question-asking during paediatric asthma visits.
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DOI：
10.1111/ijpp.12043
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发表时间：
2014-02-01
期刊：
影响因子：
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通讯作者：
Ayala, Guadalupe X
中科院分区：
文献类型：
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作者：
Sleath, Betsy;Carpenter, Delesha M;Ayala, Guadalupe X
目标：本研究的目的是描述在何种程度上奠定照顾者和儿童谁报告哮喘药物治疗问题问药物问题，在他们的medicalvisits.METHODS：儿童哮喘年龄8至16岁，他们的照顾者被招募在五个儿科实践和他们的医疗访问录音带记录。儿童在就医后接受采访，照顾者完成问卷。1个月后进行家访。广义估计方程被用来分析data.Key发现：二百九十六个家庭参与。在那些报告哮喘药物问题的照顾者中，只有35%的人在访问期间询问了至少一个药物问题。在报告哮喘药物问题的儿童中，只有11%的人在咨询期间询问了至少一个药物问题。如果提供者询问了更多关于对照药物的问题，则报告哮喘药物存在问题的护理人员和儿童更有可能询问药物问题。报告哮喘管理自我效能较高的儿童更有可能问哮喘药物questions.Conclusions：只有三分之一的照顾者和10个儿童中的一个谁报告哮喘药物问题问了一个问题，在他们的医疗访问，许多仍然报告这些问题1个月后。药剂师应鼓励照顾者和儿童报告他们使用哮喘药物时可能遇到的问题。
OBJECTIVES: The objectives of the study were to describe the extent to which lay caregivers and children who reported asthma medication problems asked medication questions during their medical visits.METHODS: Children with asthma ages 8 through 16 years and their caregivers were recruited at five paediatric practices and their medical visits were audiotape recorded. Children were interviewed after their medical visits and caregivers completed questionnaires. A home visit was conducted 1 month later. Generalized estimating equations were used to analyse the data.KEY FINDINGS: Two hundred and ninety six families participated. Among those caregivers who reported asthma medication problems, only 35% had asked at least one medication question during the visit. Among children who reported asthma medication problems, only 11% had asked at least one medication question during their consultation. Caregivers and children who reported a problem with their asthma medications were significantly more likely to have asked medication questions if providers had asked more questions about control medications. Children who reported higher asthma management self-efficacy were significantly more likely to have asked an asthma medication question.CONCLUSIONS: Only one in three caregivers and one in 10 children who reported an asthma medication problem asked a question during their medical visits and many still reported these problems 1 month later. Pharmacists should encourage caregivers and children to report problems they may be having using their asthma medications.