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药剂师在癫痫患者管理中的作用。

Role of pharmacists in the management of patients with epilepsy.

作者信息

Koshy Samuel

机构信息

Department of Pharmacy Practice, Faculty of Pharmacy, Kuwait University, Kuwait.

出版信息

Int J Pharm Pract. 2012 Feb;20(1):65-8. doi: 10.1111/j.2042-7174.2011.00156.x. Epub 2011 Aug 24.

Abstract

OBJECTIVES

The aim of this article is to highlight the roles that pharmacists currently have in the management of patients with epilepsy and the opportunities and challenges associated with these roles.

KEY FINDINGS

There are many opportunities for pharmacists in the management of patients with epilepsy owing to the accessibility and extensive knowledge of drug therapy. The role of pharmacists extends beyond dispensing medications. The pharmacists have a significant role in the education of patients about the disease and therapy, encouraging adherence and explaining side effects and providing information on potential drug-drug interactions, resulting in improved clinical outcomes and decreased costs. Physicians prefer pharmacists as information sources for medication profile and drug interaction screening for patients with epilepsy. However, there are certain challenges which the pharmacists should overcome if effective medication therapy management services are to be provided on a routine basis. Educational interventions are required to improve the knowledge and skills of pharmacists. The gap between patients' and pharmacists' views of the pharmacist's role has to be narrowed to ensure enhanced role of the pharmacists in this patient group.

CONCLUSIONS

There are a lot of opportunities and challenges for pharmacists to provide medication therapy management services for patients with epilepsy. Evidence in the literature provides justification for such services. However more research is required to provide foundation for routine provision of such services in all healthcare facilities.

摘要

目的

本文旨在强调药剂师目前在癫痫患者管理中所扮演的角色,以及与这些角色相关的机遇和挑战。

主要发现

由于药物治疗的可及性和广泛知识,药剂师在癫痫患者管理中有诸多机遇。药剂师的角色不仅限于配药。药剂师在对患者进行疾病和治疗教育、鼓励依从性、解释副作用以及提供潜在药物相互作用信息方面发挥着重要作用,从而改善临床结果并降低成本。医生更倾向于将药剂师作为癫痫患者用药情况和药物相互作用筛查的信息来源。然而,如果要常规提供有效的药物治疗管理服务,药剂师需要克服某些挑战。需要进行教育干预以提高药剂师的知识和技能。必须缩小患者和药剂师对药剂师角色看法之间的差距,以确保药剂师在该患者群体中发挥更大作用。

结论

药剂师为癫痫患者提供药物治疗管理服务存在诸多机遇和挑战。文献中的证据为这类服务提供了依据。然而,需要更多研究为在所有医疗机构常规提供此类服务奠定基础。

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