Koinuma Masayoshi, Miyazaki Yoshiko, Yumoto Tetsuro, Sato Toru, Suzuki Shinichiro, Nakajima Hirohumi, Arakawa Motoki, Koike Katsuya, Sato Hideaki, Nakamura Hitoshi
College of Pharmacy, Nihon University, Chiba, Japan.
Yakugaku Zasshi. 2010 Feb;130(2):253-61. doi: 10.1248/yakushi.130.253.
The purpose of this study was to clarify the subconsciousness of hospital pharmacists regarding them practicing drip infusion or blood drawing for therapeutic drug monitoring (TDM), etc. We conducted a mail-in survey targeting 476 randomly-selected hospital pharmacists. In our survey sheet we presented our "hypothetical condition" i.e., "that medical practices such as drip infusion or blood drawing for TDM by hospital pharmacists be legally allowed" and we asked them 23 items about the pros and cons of this hypothetical condition and its influence on medical practice. Then, using factor analysis, we searched for the subconsciousness of hospital pharmacists from their answers to the 23 items. We then analyzed the causal association between the factors extracted from the survey and the pros and cons of the "hypothetical condition" using logistic regression analysis. 47.7% of respondents agreed to the "hypothetical condition". The results of this research provided 5 factors, consisting of "expectation of medical care and society", "temperament of pharmacists", "pharmacotherapy", "employment", and "medical team". We understood from the result of logistic regression analysis that hospital pharmacists subconsciously had two kinds of expectation, i.e., expectation about medical care and society, and about qualitative improvement of pharmacotherapy, as their background when they decided to agree to themselves practicing drip infusion or blood drawing for TDM, etc.
本研究的目的是阐明医院药剂师对于他们进行静脉滴注或采血用于治疗药物监测（TDM）等操作的潜意识。我们针对476名随机选取的医院药剂师进行了邮寄调查。在调查问卷中，我们提出了“假设情况”，即“医院药剂师进行静脉滴注或采血用于TDM等医疗操作在法律上被允许”，并就这一假设情况的利弊及其对医疗实践的影响询问了他们23个问题。然后，我们使用因子分析，从他们对这23个问题的回答中探寻医院药剂师的潜意识。接着，我们使用逻辑回归分析来分析从调查中提取的因素与“假设情况”的利弊之间的因果关联。47.7%的受访者同意这一“假设情况”。本研究结果提供了5个因素，包括“对医疗和社会的期望”“药剂师的性格”“药物治疗”“就业”和“医疗团队”。从逻辑回归分析结果中我们了解到，当医院药剂师决定同意自己进行静脉滴注或采血用于TDM等操作时，他们潜意识中有两种期望，即对医疗和社会的期望以及对药物治疗质量提升的期望，作为他们的背景因素。
