Crockett Judith, Taylor Susan
School of Agriculture and Wine Sciences, Charles Sturt University, Orange, New South Wales 2800, Australia.
Aust J Rural Health. 2009 Oct;17(5):236-43. doi: 10.1111/j.1440-1584.2009.01084.x.
This paper explores pharmacist perceptions of a pilot study assessing the impact of specialist training on depression for rural community pharmacists on their understanding of treatment and psychological well-being of patients.
Mixed method survey.
Rural community pharmacies.
Thirty-two rural based community pharmacists.
Recruited pharmacists were allocated to either the 'control' or 'intervention' group. Intervention pharmacists were given training in depression and asked to dispense medication with extra advice and support, while control pharmacists provided usual care.
Understanding of depression, current involvement in patients with depression, changes in practice.
All pharmacists were more likely to initiate conversation, discuss medication and its side effects, point out the importance of remaining on the medication, provide ongoing follow-up and encourage patients to talk with their GPs and pharmacists by the end of the project. Intervention pharmacists were more likely than the control pharmacists to initiate conversation on dispensing a repeat prescription and to discuss extended support.
Response to the project by pharmacists was generally very positive. It is recommended that a longitudinal study based on this project be undertaken which involves pharmacists, GPs and other mental health professionals and trials a holistic approach to mental health care.
本文探讨药剂师对一项试点研究的看法，该研究评估了针对农村社区药剂师的抑郁症专科培训对其对患者治疗理解和心理健康的影响。
混合方法调查。
农村社区药房。
32名农村社区药剂师。
招募的药剂师被分配到“对照组”或“干预组”。干预组药剂师接受了抑郁症培训，并被要求在配药时提供额外的建议和支持，而对照组药剂师提供常规护理。
对抑郁症的理解、目前参与抑郁症患者的治疗情况、实践中的变化。
到项目结束时，所有药剂师都更有可能主动展开对话、讨论药物及其副作用、指出持续服药的重要性、提供持续随访并鼓励患者与他们的全科医生和药剂师交谈。干预组药剂师比对照组药剂师更有可能在配给重复处方时主动展开对话并讨论进一步的支持。
药剂师对该项目的反应总体上非常积极。建议基于该项目开展一项纵向研究，该研究涉及药剂师、全科医生和其他心理健康专业人员，并试验一种整体的心理健康护理方法。
