Kikuchi Chigusa, Hori Eisei, Maeda Tohru, Matsunaga Tamihide, Suzuki Tadashi
Educational Research Center for Clinical Pharmacy, Graduate School of Pharmaceutical Sciences, Nagoya City University.
Yakugaku Zasshi. 2011 Mar;131(3):477-83. doi: 10.1248/yakushi.131.477.
One of the Specific Behavioral Objectives (SBOs) of pharmaceutical education model-core curriculum is as follows: "Understand patient's state of mind and be sensitive to patient's feelings". We performed learning through simulation of diabetes drug therapy as a means to achieve the objective and evaluated the educational effects of the learning. The simulation was performed and a questionnaire survey was conducted among the 4th-year students of the 6-year curriculum before and after simulation. The score of "level of understanding patient's feelings" was significantly increased after simulation (p<0.001). In addition, the score tended to be associated (R²=0.192) with an increased score in two factors that affect patients' self-care action: "Consciousness of diabetes mellitus" (β=0.251, p=0.062) and "Time and effort for drug therapy" (β=0.248, p=0.065). The main topics of discussion about the simulation included "Lack of sense of critical illness", "Lifestyle", "Dose regimen" and "Necessity of support from patients' family and others close to them". Therefore, the learning through simulation diabetes drug therapy was effective to understand patients' states of mind because students learned the importance of some factors affecting self-care action.
药学教育模式核心课程的具体行为目标(SBOs)之一如下:“了解患者的心理状态并对患者的感受保持敏感”。我们通过模拟糖尿病药物治疗进行学习,以此作为实现该目标的一种手段,并评估了学习的教育效果。在模拟前后,对六年制课程的四年级学生进行了模拟并开展了问卷调查。模拟后,“理解患者感受程度”的得分显著提高(p<0.001)。此外,该得分与影响患者自我护理行为的两个因素得分的增加存在关联趋势(R²=0.192),这两个因素为“糖尿病意识”(β=0.251,p=0.062)和“药物治疗的时间和精力”(β=0.248,p=0.065)。关于模拟的主要讨论话题包括“缺乏危重病意识”“生活方式”“给药方案”以及“患者家属和其他亲近之人提供支持的必要性”。因此,通过模拟糖尿病药物治疗进行学习对于理解患者的心理状态是有效的,因为学生了解到了一些影响自我护理行为的因素的重要性。