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经肠内喂养管给药:药剂师知识调查

Medication administration via enteral feeding tube: a survey of pharmacists' knowledge.

作者信息

Joos Elke, Verbeke Stacey, Mehuys Els, Van Bocxlaer Jan, Remon Jean Paul, Van Winckel Myriam, Boussery Koen

出版信息

Int J Clin Pharm. 2016 Feb;38(1):10-5. doi: 10.1007/s11096-015-0196-y.

DOI:10.1007/s11096-015-0196-y
PMID:26464336
Abstract

BACKGROUND

Medication administration to patients with an enteral feeding tube (EFT) is complex and prone to errors. Community pharmacists may be ideally placed to provide training and advice on this topic in individual patients as well as in institutions supplied by the pharmacy.

OBJECTIVE

To assess community pharmacists’ knowledge on guideline recommendations regarding medication preparation and administration through EFT.

METHOD

Knowledge of guideline recommendations was assessed using a 15-item self-administered online questionnaire (April–June 2014). Questions reflected key aspects of guideline recommendations on medication administration via EFT. All graduated community pharmacists from the Dutch-speaking part of Belgium were eligible for participation.

RESULTS

A total of 105 community pharmacists completed the questionnaire. Median self-perceived knowledge of medication administration via EFT was 2 (on a 0–10 scale). On average 5.2 (SD 2.6) out of the 15 questions were answered correctly. Strikingly, the ability to select suspensions in a list of liquid medications and knowledge on crushability of solid dosage forms were low.

CONCLUSION

Our findings demonstrate that pharmacists’ knowledge on correct medication administration via EFT is too limited to be able to provide good advice to EFT patients or their caregivers. Tailored training on this topic is needed.

摘要

背景

给肠内喂养管(EFT)患者用药复杂且容易出错。社区药剂师可能最适合就这一主题为个体患者以及药房供应的机构提供培训和建议。

目的

评估社区药剂师对通过EFT进行药物制备和给药的指南建议的了解情况。

方法

使用一份15项的自填式在线问卷(2014年4月至6月)评估对指南建议的了解。问题反映了通过EFT给药的指南建议的关键方面。比利时荷兰语区所有毕业的社区药剂师均有资格参与。

结果

共有105名社区药剂师完成了问卷。通过EFT给药的自我感知知识中位数为2(0至10分制)。15个问题中平均有5.2个(标准差2.6)回答正确。令人惊讶的是,在液体药物列表中选择混悬剂的能力以及关于固体剂型可压碎性的知识较低。

结论

我们的研究结果表明,药剂师对通过EFT正确给药的知识过于有限,无法为EFT患者或其护理人员提供良好的建议。需要针对该主题进行量身定制的培训。

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