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社区药剂师是否积极与老年患者进行沟通?药学服务咨询的结果。

Do community pharmacists actively engage elderly patients in the dialogue? Results from pharmaceutical care consultations.

作者信息

Pelicano-Romano João, Neves Mariana R, Amado Ana, Cavaco Afonso M

机构信息

Department of Pharmacoepidemiology and Social Pharmacy, Research Institute for Medicines and Pharmaceutical Sciences (iMed.UL), Faculty of Pharmacy, University of Lisbon, Lisboa, Portugal.

Faculty of Pharmacy, University of Lisbon, Lisboa, Portugal.

出版信息

Health Expect. 2015 Oct;18(5):1721-34. doi: 10.1111/hex.12165. Epub 2013 Dec 17.

Abstract

BACKGROUND

Little is known about community pharmacist-patient interaction within a consultation room, particularly in terms of patient activation and engagement.

OBJECTIVE

To explore pharmacists' communication and attitudes while providing advanced medication-related services.

METHODS

A cross-sectional descriptive study, using the Roter Interaction Analysis System (RIAS) framework, to analyse a sample of audio-recorded pharmaceutical care consultations with elderly patients.

RESULTS

Around 15.0 per cent of pharmacists' utterances and 3.6 per cent of patients' were related to engagement with the latter during the exchange. To improve health outcomes, such as adherence to a therapeutic regime, pharmacists should augment patients' participation in the dialogue, facilitating concerns and disclosure of doubts, thus improving correct medication use behaviour.

摘要

背景

关于社区药剂师与患者在咨询室内的互动,尤其是在患者激活和参与方面,人们了解甚少。

目的

探讨药剂师在提供高级药物相关服务时的沟通方式和态度。

方法

采用横断面描述性研究,运用罗特互动分析系统(RIAS)框架,对与老年患者进行的药物治疗咨询录音样本进行分析。

结果

在交流过程中,约15.0%的药剂师话语和3.6%的患者话语与患者参与有关。为改善健康结局,如提高治疗方案的依从性,药剂师应增加患者在对话中的参与度,促进患者表达担忧并披露疑虑,从而改善正确用药行为。

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