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澳大利亚社区药剂师的睡眠障碍筛查、睡眠健康意识和患者随访。

Sleep disorders screening, sleep health awareness, and patient follow-up by community pharmacists in Australia.

机构信息

The University of Sydney, Sydney, Australia.

出版信息

Patient Educ Couns. 2011 Jun;83(3):325-35. doi: 10.1016/j.pec.2011.05.004. Epub 2011 Jun 2.

Abstract

INTRODUCTION

Community pharmacies are well placed to deliver education and counseling to improve sleep health.

OBJECTIVE

To develop, implement and evaluate a pharmacist led sleep health program.

METHODS

Participating pharmacists (n=23) were trained to screen, counsel and follow up patients at risk of sleep disorders. Patients were screened for specific sleep disorders, counseled, provided written information and/or referred to physicians. Patient outcomes were evaluated by questionnaire at 3 or 12 months post screening.

RESULTS

A total of 325 patients were screened, with 142 (44%) patients at risk of one or more sleep disorders. A total of 847 interventions were recorded by pharmacists: verbal counseling (49%), written information (34%), and referrals (16%). A total of 63 patients (of 99 recalling being referred) reported acting on their referral. Positive changes were made with smoking (4%), caffeine intake (10%), alcohol intake (9%) and improved sleep environment (19%).

CONCLUSION

Pharmacists can raise awareness through educating patients on sleep health, and through counseling initiate behavior change in those at risk of having or developing a sleep disorder.

PRACTICE IMPLICATIONS

Further research using this feasibility study can help in understanding the utility of pharmacists screening patients for sleep disorders and educating the public in sleep health.

摘要

简介

社区药店非常适合提供教育和咨询服务,以改善睡眠健康。

目的

开发、实施和评估由药剂师主导的睡眠健康计划。

方法

参与的药剂师(n=23)接受了培训,以对有睡眠障碍风险的患者进行筛查、咨询和随访。对患者进行特定睡眠障碍的筛查、咨询、提供书面信息和/或转介给医生。通过问卷调查在筛查后 3 或 12 个月评估患者的结果。

结果

共筛查了 325 名患者,其中 142 名(44%)患者有一个或多个睡眠障碍的风险。药剂师共记录了 847 次干预措施:口头咨询(49%)、书面信息(34%)和转介(16%)。共有 63 名患者(99 名回忆起被转介的患者中)报告称已采取行动。通过改善睡眠环境(19%)、减少吸烟(4%)、咖啡因摄入(10%)和酒精摄入(9%),做出了积极的改变。

结论

药剂师可以通过教育患者了解睡眠健康,以及通过咨询,促使有睡眠障碍或有发展睡眠障碍风险的患者改变行为。

实践意义

这项可行性研究的进一步研究可以帮助了解药剂师对患者进行睡眠障碍筛查和教育公众了解睡眠健康的效用。

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