Division of Health and Social Care, University of Surrey, Guildford, Surrey GU2 7XH, UK.
Br J Dermatol. 2011 Feb;164(2):396-401. doi: 10.1111/j.1365-2133.2010.10119.x.
Skin disease can have a huge impact on quality of life for patients and their families. Nurses have an important role in the delivery of specialist dermatology services, and prescribing enhances the care they provide. The views of dermatology patients about nurse prescribing are unknown.
To explore the views of dermatology patients about nurse prescribing, and its impact on medicines management and concordance.
Semistructured interviews were undertaken with a consecutive sample of 42 patients with acne, psoriasis or eczema who attended the clinics of seven dermatology specialist nurse prescribers. Primary and secondary care clinics were included to reflect settings in which nurses typically prescribe for patients within specialist dermatology services in England. Interviews addressed the effects of nurse prescribing on care, the patient's medicine regimen, involvement in treatment decisions and concordance, and influences on medicine taking.
Patients believed that nurse prescribing improved access to, and efficiency of, dermatology services. Great value was placed on telephone contact with nurses, and local access. Information exchange and involvement in treatment decisions ensured that treatment plans were appropriate and motivated adherence. Nurses' specialist knowledge, interactive and caring consultation style, and continuity of care improved confidence in the nurse and treatment concordance.
Nurse prescribing can increase the efficiency of dermatology services. Patients experienced active involvement in decisions about their treatment which in turn contributed to concordance and adherence to treatment regimens. This study has important implications for maximizing resource use and improving access to and quality of care in dermatology specialist services.
皮肤病会对患者及其家人的生活质量产生巨大影响。护士在提供专科皮肤科服务方面发挥着重要作用，而开处方则可以增强他们所提供的护理。但是，皮肤科患者对护士处方的看法尚不清楚。
探讨皮肤科患者对护士处方的看法，以及其对药物管理和一致性的影响。
对 42 名患有痤疮、银屑病或湿疹的患者进行了半结构化访谈，这些患者连续就诊于 7 位皮肤科专科护士处方制定者的诊所。选择初级和二级保健诊所，以反映出在英格兰，护士通常在专科皮肤科服务中为患者开具处方的环境。访谈内容涉及护士处方对护理、患者的药物治疗方案、参与治疗决策和一致性以及对药物服用的影响。
患者认为护士处方改善了对皮肤科服务的获取途径和效率。他们非常重视与护士的电话联系和当地的可及性。信息交流和参与治疗决策确保了治疗计划的合理性，并激发了患者的遵医嘱意愿。护士的专业知识、互动式和关爱型的咨询方式以及护理的连续性增强了患者对护士和治疗方案的信心。
护士处方可以提高皮肤科服务的效率。患者积极参与有关其治疗的决策，这反过来又有助于一致性和对治疗方案的遵守。本研究对最大限度地利用资源以及改善皮肤科专科服务的可及性和质量具有重要意义。
