药剂师在响应发展中国家咳自我治疗请求时的临床决策
Cecilia Brata1, Yosi Irawati Wibowo1, Eko Setiawan1
1Centre of Medicine Information and Pharmaceutical Care, Faculty of Pharmacy, The University of Surabaya, Gedung FF Lantai 5, Jalan Raya Kalirungkut, Surabaya, Jawa Timur, 60293, Indonesia.
Research in social & administrative pharmacy : RSAP
|May 18, 2024
概括
印度尼西亚的药剂师为普通感冒提供了适当的咳自我治疗建议,但在与喘相关的咳方面扎. 需要进行教育干预,以提高他们的诊断技能,以获得更好的患者分拣和结果.
科学领域:
- 药房实践 在药房实践中
- 临床决策 临床决策
- 公共卫生 公共卫生
背景情况:
- 包括印度尼西亚在内的发展中国家的社区药房已被发现,对于有关咳的自我治疗请求,他们提供了低于最佳的建议.
- 调查这些次优建议的根本原因对于改善患者护理至关重要.
研究的目的:
- 描述印尼药剂师在管理咳的自我治疗病例时的临床决策过程.
主要方法:
- 使用开放式调查问卷,其中包含两个咳标记 (喘恶化与普通感冒).
- 与药剂师进行了采访,以收集建议和理由.
- 采用内容分析来检查参与者的陈述,并量化适当的建议和推理.
主要成果:
- 对于喘相关的咳,25%的药剂师提供了适当的直接医疗转诊建议.
- 对于普通感冒咳,81%的药剂师提供了适当的产品推,并提供了合理的推理.
- 药剂师在适当处理不同类型的咳病例的能力上存在很大的差异.
结论:
- 印尼社区药剂师对于适当的咳自我治疗建议的能力因分拣的必要性而异.
- 大多数药剂师都很难区分严重和轻微的疾病,可能会影响患者的健康.
- 建议采取有针对性的教育举措,以提高药剂师的差异诊断和选技能.
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