Pharmaceutical Care Services for Asthma Patients: A Controlled Intervention Study

Abstract

As asthma is associated with an enormous social, psychological, and economic burden, various patient education programs have been developed to improve outcomes, including quality of life. The authors evaluated the effectiveness of community pharmacy-based interventions on lung function, health-related quality of life, and self-management in asthma patients in a 12-month controlled intervention study in 26 intervention and 22 control pharmacies. Pharmacies opted whether to take part as intervention or control pharmacies. According to this, patients (ages 18-65) with mild to severe asthma attending the pharmacies were allocated to the intervention (n = 161) or control group (n = 81), respectively. Intervention patients were educated on their disease, pharmacotherapy, and self-management; inhalation technique was assessed and, if necessary, corrected. Pharmaceutical care led to significantly improved inhalation technique. Asthma-specific quality of life and the mental health summary score of the SF-36 improved significantly in the intervention group. At 12 months, the intervention group showed significant improvements with regard to evening peak flow, self-efficacy, and knowledge.

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“…(Rosenbrock 2001, Badura und Schellschmidt 1999, Scheibler et al 2005. Mittlerweile liegen Belege dafür vor, dass die Patienten das so genannte Shared Decision Making wünschen und dass es positive Wirkungen auf ihre Gesundheit, Lebensqualität, Zufriedenheit und Therapietreue hat (Scheibler et al 2005, Little et al 2001 (Britten et al 2000, Maywald et al 2004, Patienten sich nicht einbezogen fühlen und Informationen über Nebenwirkungen unzureichend sind (Bahrs und Pohl 2002, Bertelsmann Stiftung 2002 (Mühlbauer et al 2000, Birnbaum et al 2003, Kahmen und Schaefer 2001, Schulz et al 2001. …”

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