Evaluation of the Symptoms, Adherence and Satisfaction after Pharmaceutical Care at Asthma Clinic for Outpatient

Abstract

In the present study, we investigated whether counseling at an outpatient asthma clinic improved asthma symptoms, adherence and patient satisfaction: The asthma control test (ACT) and asthma control questionnaire (ACQ) were used to assess subjective symptoms, 10-item version of the drug attitude inventory (DAI-10) was used to determine medication adherence, and 8-item Japanese version of the client satisfaction questionnaire (CSQ-8J) was used to ascertain patient satisfaction. All scores of inhalation technique, PEF (peak expiratory ‰ow) value/predicted PEF value (％), ACT, ACQ and DAI-10 in 26 patients with asthma increased after counseling at the outpatient asthma clinic compared to those before counseling. The average CSQ-8J score of 28 points (highest possible score: 32 points) indicated that the patients were satisˆed with services provided by this clinic. These results indicate that counseling provided by pharmacists at the outpatient clinic is a valuable way improving subjective symptoms, lung function and medication adherence. These results also indicate that counseling at the asthma clinic by pharmacists improves the quality of life of patients with asthma.

Results of a clinical audit on drug‐related problems identified by a clinical pharmacist in a thoracic outpatient clinic

“…25 These seemingly negative results, however, do not exclude the need for a pharmacist to review respiratory patients in a specialist outpatient setting as pharmacists are well placed to provide counselling. In an asthma clinic in Japan, 26 pharmacist counselling improved asthma symptoms, adherence and patient satisfaction. Furthermore, pharmacists have the opportunity to identify both The impact of a clinical pharmacist in a thoracic outpatient clinic respiratory and non-respiratory DRPs.…”

Pharmacist-managed clinics for patient education and counseling in Japan: current status and future perspectives

“…Furthermore, repeated counseling in the PMC improved PEFR and maintained it at a high level for over 2 years [ 40 ]. Subsequent studies demonstrated that pharmaceutical education and counseling in the PMC for asthma were effective in enhancing patients’ knowledge and adherence and increasing the PEFR of patients with any disease severity from mild to severe [ 69 , 70 ]. Significant positive correlations of medication adherence with inhalation technique and insights into the disease and medication were observed, but not with the state of disease control.…”