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[药剂师在平时社区药房为应对紧急情况(如大地震和灾难)中的头痛医疗所做的努力]

[Efforts by Pharmacists in Community Pharmacy in Peacetime for Headache Medical Care in Emergencies, Such as Great Earthquake and Disaster].

作者信息

Ishii Masakazu, Katoh Hirotaka, Ishibashi Masaaki, Ichikawa Mizuki, Kurokawa Shinji, Tsukada Setsuro, Kasai Hideyo, Kiuchi Yuji, Iwamoto Sanju

机构信息

Division of Physiology and Pathology, School of Pharmacy, Showa University.

出版信息

Yakugaku Zasshi. 2016;136(11):1541-1555. doi: 10.1248/yakushi.16-00084.

Abstract

We herein analyzed the issues that pharmacists in a community pharmacy in peacetime need to prepare for regarding headache medical care in emergencies (the state that supply of medical supplies is difficult) using a questionnaire intended for doctors and pharmacists in a community pharmacy. Recovery rates were 48.0% (96/200) for doctors and 37.3% (112/300) for pharmacists. In order to distinguish between patients for whom pharmacists need to "recommend OTC drugs" and those who need to be encouraged "to consult a hospital or clinic", doctors indicated that pharmacists need to use an "assistance tool to diagnosis headaches, such as a migraine screener" and "guidelines for chronic headaches". However, few pharmacists used these tools. Approximately 66.7% of doctors indicated that it is "meaningful" for pharmacists to distinguish patients with headaches. Moreover, doctors indicated the need for guidance by pharmacists in peacetime regarding headache medical care in emergencies. Although 73.2% of pharmacists instructed the patients with headaches of the importance of medication notebooks in emergencies, guidance ("understanding the triggers of headaches", "understanding the importance of removing the cause of the headache", "standing OTC drugs" and "standing prescription drugs") by pharmacists to prepare for an emergency was insufficient. These results provide useful information to improve the efforts by pharmacists in community pharmacies in peacetime for headache medical care in emergencies.

摘要

我们使用一份针对社区药房医生和药剂师的调查问卷,分析了社区药房药剂师在平时应对紧急情况(医疗物资供应困难的状态)下头痛医疗护理需要做的准备工作。医生的回复率为48.0%(96/200),药剂师的回复率为37.3%(112/300)。为了区分药剂师需要“推荐非处方药”的患者和需要被鼓励“去医院或诊所咨询”的患者,医生表示药剂师需要使用“偏头痛筛查仪等头痛诊断辅助工具”和“慢性头痛指南”。然而,很少有药剂师使用这些工具。约66.7%的医生表示药剂师区分头痛患者“有意义”。此外,医生指出平时药剂师需要在紧急情况下的头痛医疗护理方面提供指导。虽然73.2%的药剂师向头痛患者说明了用药记录在紧急情况下的重要性,但药剂师为应对紧急情况所提供的指导(“了解头痛的触发因素”“了解消除头痛病因的重要性”“常备非处方药”和“常备处方药”)并不充分。这些结果为改善社区药房药剂师平时在紧急情况下头痛医疗护理方面的工作提供了有用信息。

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