doi:10.3761/j.issn.0254-1769.2019.08.028

Abstract

Key words: Medication Adherence, Inhalation, Respiratory Tract Disease, Review

摘要：

对慢性呼吸道疾病患者吸入给药治疗依从性的评测工具、现状、影响因素及干预现状进行综述,评测工具分为客观评估和主观评估两大类;目前慢性呼吸道疾病患者的吸入给药治疗依从性较差,其形式包括药物剂量与医嘱不符和吸入装置使用错误;吸入给药治疗依从性受到患者生理、心理、社会及医护人员等多方面因素的影响;干预措施有医药护协同管理、各种形式的健康教育和提供个体化干预等,旨在为临床提高慢性呼吸道疾病患者吸入给药治疗依从性提供借鉴和指导。

关键词: 服药依从性, 吸入, 呼吸道疾病, 综述

都勇, 王爱平. 慢性呼吸道疾病患者吸入给药治疗依从性的研究进展[J]. 中华护理杂志, 2019, 54(8): 1248-1253.

References 42

[1]	钟南山 . 2017年慢性气道疾病防治研究进展[J]. 华西医学, 2018,1(1):1-7.
[2]	Backman H, Räisänen P, Hedman L , et al. Increased prevalence of allergic asthma from 1996 to 2006 and further to 2016 & mdash;results from three population surveys[J]. Clin Exp Allergy, 2017,47(11):1426.
[3]	Pelkonen MK, Notkola IK, Laatikainen TK , et al. 30-year trends in asthma and the trends in relation to hospitalization and mortality[J]. Respir Med, 2018,142:29-35.
[4]	Fang L, Gao P, Bao H , et al. Chronic obstructive pulmonary disease in China: a nationwide prevalence study[J]. Lancet Respir Med, 2018,6(6):421-430.
[5]	Beasley R, Semprini A, Mitchell EA . Risk factors for asthma:is prevention possible?[J]. Lancet, 2015,386(9998):1075-1085.
[6]	Jones PW, Singh D, Bateman ED , et al. Efficacy and safety of twice-daily aclidinium bromide in COPD patients:the ATTAIN study[J]. Eur Respir J, 2012,40(4):830-836.
[7]	中华医学会呼吸病学分会《雾化吸入疗法在呼吸疾病中的应用专家共识》制定专家组. 雾化吸入疗法在呼吸疾病中的应用专家共识[J]. 中华医学杂志, 2016,96(34):2696-2708.
[8]	Holmes MS, Le Menn M, D’arcy S , et al. Automatic identification and accurate temporal detection of inhalations in asthma inhaler recordings[J]. Conf Proc IEEE Eng Med Biol Soc, 2012,2012, 2595-2598.
[9]	O’dwyer SM, Machale E, Sulaiman I , et al. The effect of providing feedback on inhaler technique and adherence from an electronic audio recording device,INCA,in a community pha-rmacy setting:study protocol for a randomised controlled trial[J]. Trials, 2016,17(1):226.
[10]	Dhamane AD, Schwab P, Hopson S , et al. Association between adherence to medications for COPD and medications for other chronic conditions in COPD patients[J]. Int J Chron Obstruct Pulmon Dis, 2017,12(1):115-122.
[11]	Morisky DE, Ang A, Krousel‐Wood M ,et al. Predictive validity of a Medication Adherence Measure in an outpatient setting[J]. J Clin Hypertens, 2008,10(5):348-354.
[12]	Horne R, Weinman J . Self-regulation and self-management in asthma:exploring the role of illness perceptions and treatment beliefs in explaining non-adherence to preventer medication[J]. J Psychosom Res, 2002,17(1):17-32.
[13]	田庆秀, 余丽君 . 中文版支气管哮喘用药依从性量表的信效度检验[J]. 中华护理杂志, 2014,49(5):621-624.
[14]	Vicente P, Concepción FR, Carlos M , et al. Validation of the ‘Test of the Adherence to Inhalers’(TAI) for asthma and COPD patients[J]. J Aerosol Med Pulm Drug Deliv, 2016,29(2):142.
[15]	Barja-Martinez E, Casas-Gonzalez S, Simon-Lopez AF , et al. Adhe-rence to inhaled therapy in the outpatient setting[J]. Enferm Clin, 2019,29(1):34-38.
[16]	Sulaiman I, Cushen B, Greene G , et al. Objective assessment of adherence to inhalers by patients with chronic obstructive pulmonary disease[J]. Am J Respir Crit Care Med, 2017,195(10):1333-1343.
[17]	Montes De Oca M, Menezes A, Wehrmeister FC , et al. Adherence to inhaled therapies of COPD patients from seven Latin American countries:the LASSYC study[J]. PLoS One, 2017,12(11):e0186777.
[18]	张冉, 田庆秀, 姚丽娜 , 等. 支气管哮喘患者糖皮质激素吸入技术的评价[J]. 中华护理杂志, 2015,50(8):975-980.
[19]	秦琼, 陈蓉, 雷伟 , 等. 哮喘、慢性阻塞性肺疾病患者吸入给药装置依从性评价与分析[J]. 中国药学杂志, 2016,51(5):413-416. DOI
[20]	Plaza V, Lopez-Vina A, Entrenas LM , et al. Differences in adhe-rence and non-adherence behaviour patterns to inhaler de-vices between COPD and asthma patients[J]. Copd, 2016,13(5):547-554.
[21]	Olszanecka-Glinianowicz M, Almgren-Rachtan A . The adherence and illness perception of patients diagnosed with asthma or chronic obstructive pulmonary disease treated with polytherapy using new generation Cyclohaler[J]. Postepy Dermatol Alergol, 2014,31(4):235-246.
[22]	Sofianou A, Martynenko M, Wolf MS , et al. Asthma beliefs are associated with medication adherence in older asthmatics[J]. J Gen Intern Med, 2013,28(1):67-73.
[23]	董正惠, 阿依夏木·司马义, 王惠妩 ,等. 支气管哮喘患者疾病认知程度与吸入治疗依从性、疾病控制的相关性[J]. 护理管理杂志, 2010,10(4):238-240.
[24]	Lópezviña A, Giner J, Molina J , et al. Multidisciplinary con-sensus on the nonadherence to clinical management of inhaled therapy in Spanish asthma patients[J]. Clin Ther, 2017, 39(8):1730- 1745. e1.
[25]	张苗, 王诗童, 凌云 , 等. 262例慢性阻塞性肺疾病病人服药依从性调查分析[J]. 护理研究, 2012,26(28):2608-2609.
[26]	Tottenborg SS, Lange P, Johnsen SP , et al. Socioeconomic inequalities in adherence to inhaled maintenance medications and clinical prognosis of COPD[J]. Respir Med, 2016,119, 160-167.
[27]	Anthonisen NR, Connett JE, Kiley JP , et al. Effects of smoking intervention and the use of an inhaled anticholinergic bronchodilator on the rate of decline of FEV₁. The lung health study[J]. JAMA, 1994,272(19):1497-1505.
[28]	Veprekova B, Pokorna A . Compliance of senior / elderly patients with cognitive impairment[J]. Vnitrni lekarstvi, 2013,59(9):794-799.
[29]	Sanchis J, Gich I, Pedersen S . Systematic review of errors in inhaler use:has patient technique improved over time?[J]. Chest, 2016,150(2):394-406.
[30]	Sicras A, Ferrer V, Collar JM , et al. Persistence to treatment by type of inhaler device in patients with asthma and chron-ic obstructive pulmonary disease[J]. Semergen, 2017,43(5):375-386.
[31]	林佳媛, 何乐, 徐斌 , 等. 慢性阻塞性肺疾病患者吸入制剂依从性调查[J]. 临床肺科杂志, 2017,22(4):658-661.
[32]	Plaza V, Sanchis J, Roura P , et al. Physicians’ knowledge of inhaler devices and inhalation techniques remains poor in Spain[J]. J Aerosol Med Pulm Drug Deliv, 2012,25(1):16-22.
[33]	司树梅, 王银萍 . 太原市三级甲等医院呼吸科护士对干粉吸入给药的认知现状[J]. 护理研究, 2018,32(3):494-496.
[34]	黄少俊 . 上海市某区社区卫生服务中心吸入给药的现状调查[D]. 上海:第二军医大学, 2017.
[35]	Melani AS, Bonavia M, Cilenti V , et al. Inhaler mishandling remains common in real life and is associated with reduced disease control[J]. Respir Med, 2011,105(6):930-938.
[36]	刘小霞, 陈刚, 花萍 . 药护协同管理模式在提高慢性阻塞性肺疾病患者雾化吸入依从性的实践效果评价[J]. 黑龙江医学, 2018,42(2):175-177.
[37]	刘小青, 姜金霞, 王茜 , 等. 动机性访谈对成年哮喘患者用药依从性及哮喘控制水平的影响[J]. 中华现代护理杂志, 2017,23(34):4344.
[38]	Poureslami I, Kwan S, Lam S , et al. Assessing the effect of culturally specific audiovisual educational interventions on at-taining self-management skills for chronic obstructive pulmo-nary disease in Mandarin- and Cantonese-speaking patients:a randomized controlled trial[J]. Int J Chron Obstruct Pulmon Dis, 2016,11, 1811-1822.
[39]	Al-Kalaldeh M, El-Rahman MA, El-Ata A . Effectiveness of nurse-driven inhaler education on inhaler proficiency and compliance among obstructive lung disease patients:a quasi-experimental study[J]. Can J Nurs Res, 2016,48(2):48-55.
[40]	Lareau SC, Yawn BP . Improving adherence with inhaler therapy in COPD[J]. Int J Chron Obstruct Pulmon Dis, 2010,5(default):401-406.
[41]	龙何英, 刘旭霞, 吴雪坚 . 个体化护理干预对慢性阻塞性肺疾病稳定期患者舒利迭治疗依从性及生活质量的影响[J]. 当代护士(中旬刊), 2017(1):109-110.
[42]	Crane MA, Jenkins CR, Goeman DP , et al. Inhaler device tech-nique can be improved in older adults through tailored education:findings from a randomised controlled trial[J]. Npj Pri-mary Care Respiratory Medicine, 2014,24, 14034.

慢性呼吸道疾病患者吸入给药治疗依从性的研究进展

RichHTML

PDF

Knowledge

Abstract

Cite this article

share this article

References 42

Related Articles 15

Recommended Articles

Metrics

[1]	HUANG Panpan, LI Liling, HU Xiaojing. Research progress of early exercise rehabilitation in infants with congenital heart disease [J]. Chinese Journal of Nursing, 2025, 60(9): 1050-1055.
[2]	ZHOU Miao, CHEN Xing, PENG Fei, SUN Shangxue, LI Yangyang. Systematic review of risk prediction instruments for central line associated bloodstream infections in ICU patients [J]. Chinese Journal of Nursing, 2025, 60(9): 1132-1139.
[3]	PENG Yingjie, LIU Aihong, ZHU Wenli, MEI Yuxin, ZHOU Meng, GUAN Wenjing. Systematic review of readiness assessment tools for advance care planning in older adults [J]. Chinese Journal of Nursing, 2025, 60(9): 1146-1153.
[4]	RAN Lingxiao, WANG Dongmin, XU Ke, WANG Cong, CAO Hua, CUN Wei, JIANG Yan. Application of biomechanical simulation based on three-dimensional human body model in preventing pressure ulcers：a scoping review [J]. Chinese Journal of Nursing, 2025, 60(8): 1012-1018.
[5]	JIN Yujia, JIANG Hu, WANG Xiaoxuan, YI Jingna, MEI Yongxia, GUO Zhiting, ZHANG Zhenxiang, LIN Beilei. Application of information-based risk communication in primary prevention of cardiovascular diseases：a scoping review [J]. Chinese Journal of Nursing, 2025, 60(8): 1019-1025.
[6]	FENG Weiqing, CHEN Yanbo, CAI Huan, RUAN Jiahui, HE Xiuxian, LI Kun. A scoping review of the longitudinal studies on post stroke fatigue [J]. Chinese Journal of Nursing, 2025, 60(7): 799-805.
[7]	ZHOU Nan, ZHI Shihan, WANG Meng, ZHANG Hui, ZHANG Lihong, LUO Maoyu, HE Ying, GU Wei. The scope of application of sexual dysfunction intervention in cervical cancer patients and nursing inspira-tion [J]. Chinese Journal of Nursing, 2025, 60(7): 890-897.
[8]	HUANG Zhenzhen, SUI Weijing, DONG Jing, ZHANG Junru, ZHANG Chuchu, ZHOU Hongting, ZHANG Jiayu, ZHANG Na, ZHUANG Yiyu. Application of eye tracking techniques in ICU patients with aphasia：a scoping review [J]. Chinese Journal of Nursing, 2025, 60(6): 757-763.
[9]	LI Haijiao, WEI Dongshuai, WANG Ruiyan, LIU Rongxun, ZHANG Chaofeng, JIA Jie, WEI Yange. The application progress of music intervention in nursing of patients with psychiatric disorders [J]. Chinese Journal of Nursing, 2025, 60(6): 764-768.
[10]	WANG Wenjing, HAO Wumei, TAI Jingyu, DONG Qian, GUO Aimin. Experience of inhalation therapy in patients with chronic obstructive pulmonary disease：a Meta-synthesis [J]. Chinese Journal of Nursing, 2025, 60(5): 545-551.
[11]	JIANG Sishan, CHENG Qinqin, LUO Tingwei, ZHANG Na, GUO Junchen, LI Dongya, LI Dandan, ZHU Lihui. A systematic review of quality assessment tools for pediatric palliative care based on COSMlN guidelines [J]. Chinese Journal of Nursing, 2025, 60(5): 611-618.
[12]	TIAN Siying, CHANG Hong. Research progress on the application of just-in-time adaptive intervention in chronic illness sedentary and physical activity [J]. Chinese Journal of Nursing, 2025, 60(5): 619-623.
[13]	LIANG Yilan, JIANG Wei, HE Xiaoshuang, WANG Ting, LÜ Yani. Research progress of symptom science model in chronic kidney disease [J]. Chinese Journal of Nursing, 2025, 60(5): 624-628.
[14]	WU Huixia, CHENG Huifang, HUANG Shanshan, HUANG Yuansi, LIU Xiangyu. Research progress on application of vision technology in negative emotion assessment for chronic disease patients [J]. Chinese Journal of Nursing, 2025, 60(5): 635-641.
[15]	WANG Sa, MIAO Huali, LI Yuwei, WANG Hongwei, QIAO Caicai, SONG Weiting. A systematic review of tools for assessing the readiness of patients with chronic diseases aged 10-19 to transition to adulthood [J]. Chinese Journal of Nursing, 2025, 60(4): 469-477.