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[使用认知行为疗法方法开发并验证一项培训计划,目的是使社区药剂师能够提供共情式患者咨询服务]

[Development and Validation of a Training Program Using a Cognitive Behavioral Therapy Approach with the Purpose of Enabling Community Pharmacists to Provide Empathic Patient Counseling].

作者信息

Tanuma Kazunori, Watanabe Fumiyuki, Maeda Hatsuyo, Shiina Miki, Hara Kazuo, Kamei Miwako

机构信息

Kamegaya Co., Ltd. (Fit Care Depot).

出版信息

Yakugaku Zasshi. 2017;137(2):227-240. doi: 10.1248/yakushi.16-00083.

DOI:10.1248/yakushi.16-00083
PMID:28154336
Abstract

To enable community pharmacists to provide empathic patient counseling, we developed and validated a training program based on cognitive reframing, which is one of the cognitive behavioral therapies. We divided 24 community pharmacists into two groups, providing training to the intervention group. The duration of the training program was two hours per session, with a total of eight hours. We conducted a survey of the intervention group to evaluate their training experience. In addition, we performed two role-play scenarios on patient counseling using simulated patients, evaluating the patient counseling alliance scores and the degrees of the psychological distance between the patients and pharmacists. The degree of satisfaction correlated with four training items, including "explanation by comics". When pharmacists felt that the cognitive behavioral therapy approach was successful, no significant differences were found in the patient counseling alliance grades. However, the psychological distance between the patients and pharmacists was smaller. We were able to infer that a cognitive behavioral therapy approach could decrease the psychological distance between patients and pharmacists, thereby enabling empathic patient counseling.

摘要

为使社区药剂师能够提供共情的患者咨询服务,我们基于认知重构(认知行为疗法之一)开发并验证了一个培训项目。我们将24名社区药剂师分为两组,对干预组进行培训。培训项目每次时长两小时,共八小时。我们对干预组进行了一项调查,以评估他们的培训体验。此外,我们使用模拟患者进行了两个关于患者咨询的角色扮演场景,评估患者咨询联盟得分以及患者与药剂师之间的心理距离程度。满意度与四个培训项目相关,包括“漫画解释”。当药剂师认为认知行为疗法方法成功时,患者咨询联盟等级没有显著差异。然而,患者与药剂师之间的心理距离更小。我们能够推断出认知行为疗法方法可以缩短患者与药剂师之间的心理距离,从而实现共情的患者咨询。

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