Shawahna Ramzi
Department of Physiology, Pharmacology and Toxicology, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine; An-Najah BioSciences Unit, Centre for Poisons Control, Chemical and Biological Analyses, An-Najah National University, Nablus, Palestine.
Epilepsy Behav. 2017 Dec;77:79-89. doi: 10.1016/j.yebeh.2017.09.026. Epub 2017 Nov 8.
The aim of this study was to develop and achieve consensus on a core list of important knowledge items that community pharmacists should know on women's issues in epilepsy.
This was a consensual study using a modified Delphi technique. Knowledge items were collected from the literature and from nine key contacts who were interviewed on their views on what information community pharmacists should have on women's issues in epilepsy. More knowledge items were suggested by five researchers with interest in women's issues who were contacted to rate and comment on the knowledge items collected. Two iterative Delphi rounds were conducted among a panel of pharmacists (n=30) to achieve consensus on the knowledge items to be included in the core list. Ten panelists ranked the knowledge items by their importance using the Analytical Hierarchy Process (AHP).
Consensus was achieved to include 68 knowledge under 13 categories in the final core list. Items ranked by their importance were related to the following: teratogenicity (10.3%), effect of pregnancy on epilepsy (7.4%), preconception counseling (10.3%), bone health (5.9%), catamenial epilepsy (7.4%), menopause and hormonal replacement therapy (2.9%), contraception (14.7%), menstrual disorders and infertility (8.8%), eclampsia (2.9%), breastfeeding (4.4%), folic acid and vitamin K (5.9%), counseling on general issues (14.7%), and sexuality (4.4%).
Using consensual knowledge lists might promote congruence in educating and/or training community pharmacists on women's issues in epilepsy. Future studies are needed to investigate if such lists can improve health services provided to women with epilepsy (WWE).
本研究旨在制定一份社区药剂师应了解的癫痫女性相关重要知识项目的核心清单，并就该清单达成共识。
这是一项采用改良德尔菲技术的共识研究。知识项目从文献以及九位关键联系人处收集，这些联系人就社区药剂师应掌握的癫痫女性相关信息发表了看法。另外，还联系了五位关注女性问题的研究人员，他们提出了更多知识项目，并对收集到的知识项目进行评分和评论。在一组药剂师（n = 30）中进行了两轮迭代德尔菲法，以就纳入核心清单的知识项目达成共识。十位小组成员使用层次分析法（AHP）按重要性对知识项目进行了排序。
最终核心清单达成共识，纳入了13个类别下的68条知识。按重要性排序的项目如下：致畸性（10.3%）、妊娠对癫痫的影响（7.4%）、孕前咨询（10.3%）、骨骼健康（5.9%）、经期癫痫（7.4%）、绝经与激素替代疗法（2.9%）、避孕（14.7%）、月经紊乱与不孕（8.8%）、子痫（2.9%）、母乳喂养（4.4%）、叶酸和维生素K（5.9%）、一般问题咨询（14.7%）以及性方面（4.4%）。
使用达成共识的知识清单可能会促进在对社区药剂师进行癫痫女性相关问题的教育和/或培训方面的一致性。未来需要开展研究，以调查此类清单是否能够改善为癫痫女性提供的医疗服务。
