Department of Pharmacy and Pharmacology, University of Bath, Bath, UK.
Department of Nursing, Centre for Health Science, University of the Highland and Islands, Inverness, UK.
BMJ Open. 2018 Aug 5;8(8):e023198. doi: 10.1136/bmjopen-2018-023198.
To explore the pharmaceutical care needs of, and service provision to, older people with sensory impairment (visual, hearing and dual impairment) on prescribed polypharmacy (≥4 medicines) in Scotland.
Interviews were conducted with older people with sensory impairment and community pharmacy personnel, which informed the content of a subsequent national cross-sectional survey of community pharmacists.
Scotland, 2015-2016.
Older people with sensory impairment and community pharmacy personnel.
Interviews were completed with 23 older people with sensory impairment (dual impairment n=13, visual or hearing impairment n=5 of each) and 30 community pharmacy personnel from eight of 14 Scottish Health Boards. A total of 171 survey responses were received.Older people reported that they did not always disclose their sensory impairment to pharmacy personnel. They also reported that medicines were difficult to identify particularly when their name, shape or colour changed. Pharmacy personnel relied on visible cues such as white canes or guide dogs to identify visual impairment and suggested that hearing loss was less visible and more difficult to identify. Many assistive aids in support of medicine management, such as dosette boxes, seemed inadequate for complex medication regimens. Few community pharmacy personnel reported receiving training in the care of people with sensory impairment.
This is the first comprehensive, multistakeholder, in-depth exploration of the pharmaceutical care needs of older people with sensory impairment. Strategies are needed to enable people with sensory impairment to disclose their impairment to pharmacy personnel (and other healthcare providers). Community pharmacy personnel require training to deliver person-centred pharmaceutical care for older people with sensory impairment particularly regarding communication with individuals in this vulnerable population.
探索苏格兰视力、听力和双重障碍（≥4 种药物）受损的老年多药患者的药物治疗需求和服务提供情况。
对视力、听力受损的老年人和社区药剂师进行了访谈，为随后对社区药剂师进行的全国横断面调查提供了内容。
苏格兰，2015-2016 年。
视力、听力受损的老年人和社区药剂师。
共完成了 23 名视力、听力受损的老年人（双重障碍 13 名，视力或听力受损各 5 名）和来自苏格兰 14 个卫生委员会中的 8 个的 30 名社区药剂师的访谈。共收到 171 份调查回复。老年人表示他们并不总是向药剂师透露他们的感官障碍。他们还表示，当药品的名称、形状或颜色发生变化时，药品很难识别。药剂师依赖于可见的线索，如白色手杖或导盲犬，来识别视力障碍，并认为听力损失不太明显，更难识别。许多支持药物管理的辅助工具，如药盒，似乎不足以满足复杂的药物治疗方案。很少有社区药剂师报告接受过有关照顾感官障碍患者的培训。
这是首次对视力、听力受损的老年多药患者的药物治疗需求进行全面、多利益相关方、深入探索。需要制定策略，使感官障碍患者能够向药剂师（和其他医疗保健提供者）透露他们的障碍。社区药剂师需要接受培训，为感官障碍的老年患者提供以人为本的药物治疗服务，特别是在与这个弱势群体沟通方面。
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