Westerlund Tommy, Allebeck Peter, Marklund Bertil, Andersson Inga-Lisa, Brånstad Jan-Olof, Sjöblom Magnus
National Corporation of Swedish Pharmacies (NCSP), Stockholm, Sweden.
Am J Health Syst Pharm. 2003 Jul 1;60(13):1336-41.
The outcomes of a counseling model designed to help pharmacists care for customers seeking nonprescription treatment for dyspepsia in Swedish community pharmacies were studied. A protocol containing 10 key questions based on clinical guidelines about dyspepsia symptoms and on studies of drug-related problems (DRPs) was implemented in six community pharmacies in Sweden. During two weeks in April 2002, all adult customers seeking self-care for dyspepsia were asked to participate in the interview. Depending on a customer's answers, pharmacy personnel gave advice, intervened for DRPs, or referred the customer to a physician. Customers who received advice or intervention were followed up by telephone. A total of 319 customers who met the study criteria agreed to participate. Of these, 183 (57%) received self-care advice, 37 (12%) had DRPs, and 39 (12%) were referred to a physician because of their symptoms. Of the 198 customers fulfilling the criteria for a follow-up interview, 130 (66%) participated. Nearly all of these customers were satisfied with their visit to the pharmacy, and 9 in 10 were pleased with the advice received. Eighty-five percent claimed they had followed the self-care advice, and two in three said they felt better. DRPs were resolved in 19 (86%) of the 22 customers with DRPs who were followed up. Only one customer in five who was advised to see a physician actually did so. A counseling model designed to discover and resolve problems related to symptoms and drug use appeared to have a favorable impact on outcomes in customers with dyspepsia seeking nonprescription drug treatment in Swedish pharmacies.
一项旨在帮助药剂师在瑞典社区药房为寻求消化不良非处方治疗的顾客提供护理的咨询模式的结果得到了研究。一项基于消化不良症状临床指南和药物相关问题（DRPs）研究的包含10个关键问题的方案在瑞典的6家社区药房实施。在2002年4月的两周时间里，所有寻求消化不良自我护理的成年顾客都被邀请参加访谈。根据顾客的回答，药房工作人员提供建议、对药物相关问题进行干预，或将顾客转介给医生。接受建议或干预的顾客通过电话进行随访。共有319名符合研究标准的顾客同意参与。其中，183名（57%）接受了自我护理建议，37名（12%）存在药物相关问题，39名（12%）因其症状被转介给医生。在198名符合随访访谈标准的顾客中，130名（66%）参与了随访。几乎所有这些顾客对他们在药房的就诊都很满意，十分之九的顾客对所接受的建议感到满意。85%的顾客声称他们遵循了自我护理建议，三分之二的顾客表示感觉好多了。在接受随访的22名存在药物相关问题的顾客中，19名（86%）的问题得到了解决。在被建议去看医生的顾客中，只有五分之一的顾客实际去看了医生。一项旨在发现和解决与症状及药物使用相关问题的咨询模式似乎对在瑞典药房寻求非处方药物治疗的消化不良顾客的治疗结果产生了积极影响。
