Establishment of hierarchical management standard in patients with chronic obstructive pulmonary disease from the perspective of pharmacists based on Delphi method
- VernacularTitle:基于德尔菲法构建药师视角下慢性阻塞性肺疾病患者分级管理标准
- Author:
Ruobin ZHANG
1
,
2
;
Qiuhui WU
1
;
Xinrui CAO
1
,
3
;
Congling CHEN
1
,
2
;
Jinping ZHANG
1
Author Information
1. Dept. of Pharmacy，Nanjing Drum Tower Hospital，the Affiliated Hospital of Nanjing University Medical School，Nanjing 210008，China
2. School of Basic Medicine and Clinical Pharmacy，China Pharmaceutical University，Nanjing 211198，China
3. Drum Tower Clinical College，Nanjing University of Chinese Medicine，Nanjing 210029，China
- Publication Type:Journal Article
- Keywords:
chronic obstructive pulmonary disease
- From:
China Pharmacy
2024;35(7):860-865
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To develop a standard of hierarchical management for patients with chronic obstructive pulmonary disease （COPD） from the perspective of pharmacists. METHODS The triangle hierarchical management model was used as the framework. Through literature research， the indicators of the hierarchical management standard for COPD patients were preliminarily compiled. A questionnaire was designed and administered to 18 experts， and Delphi method was conducted in two rounds to determine the contents of the standard. RESULTS The response rates for both rounds of expert consultation were 100%， with both authority coefficients of experts of 0.903 and Kendall coordination coefficiens of 0.279 and 0.189 for each indicator. The final established standard of hierarchical management for COPD patients included 25 stratified indicators and 17 pharmaceutical hierarchical management indicators. There were 9， 8 and 8 indicators in the high-risk， medium-risk， and stable layers， respectively， considering three aspects： disease， medication， and self-management level. The corresponding first-level， second- level， and third-level pharmaceutical management included 6， 6 and 5 indicators， respectively， including inhalation technical guidance， medication adherence guidance， treatment monitoring， and follow-up， etc. CONCLUSIONS The standard of hierarchical management for COPD patients established by Delphi method is scientific and reliable， which can provide a reference for pharmacists to carry out hierarchical management of COPD patients in China.
