Cheong Jing Yi Vanessa, Hie Szu Liang, Koh En Wei, de Souza Nurun Nisa Amatullah, Koh Mark Jean-Aan
Department of Pharmacy, KK Women's and Children's Hospital, Singapore.
Duke-NUS Medical School, Singapore.
Pediatr Dermatol. 2019 Jan;36(1):105-109. doi: 10.1111/pde.13708. Epub 2018 Nov 8.
Atopic dermatitis (AD) is a common skin condition in childhood. AD management can be complex, and caregivers may have inadequate information on the disease, aggravating factors, and management. Comprehensive therapeutic education has been closely associated with increased compliance and is recommended for all patients. There are, as yet, no studies on the impact of a pharmacist-led eczema counseling service.
The primary objective was to assess the impact of a pharmacist-led eczema counseling service on improving caregivers' knowledge. The secondary objective was to evaluate caregivers' satisfaction of the service and their confidence in handling the patient's condition after counseling.
This was a prospective, questionnaire-based observational study. After obtaining informed consent, caregivers were required to complete questionnaire A, containing items on demographics and knowledge assessment. Caregivers then underwent a counseling session by a dermatology-trained pharmacist. After counseling, caregivers were required to complete questionnaire B containing items on satisfaction and confidence level. A follow-up phone call was conducted after initial counseling session, during which knowledge-based questionnaire C would be completed.
Data from 32 participants were included in the analysis. There was a significant improvement in caregivers' knowledge score after receiving counseling, with mean precounseling score of 8.38 ± 3.92 and mean postcounseling score of 13.88 ± 3.65 (P < 0.001). Majority was satisfied with the service and was confident in handling their child's condition.
Pharmacist-led eczema counseling has a positive impact on caregiver's knowledge and can lead to improved compliance. The service was well received, although more time could be spent during the counseling.
特应性皮炎（AD）是儿童常见的皮肤疾病。AD的管理可能较为复杂，而护理人员可能对该疾病、加重因素及管理方面的信息了解不足。全面的治疗教育与依从性提高密切相关，推荐应用于所有患者。目前尚无关于药剂师主导的湿疹咨询服务影响的研究。
主要目的是评估药剂师主导的湿疹咨询服务对提高护理人员知识水平的影响。次要目的是评估护理人员对该服务的满意度以及咨询后处理患儿病情的信心。
这是一项基于问卷的前瞻性观察性研究。获得知情同意后，护理人员需完成问卷A，其中包含人口统计学和知识评估项目。然后护理人员接受经过皮肤科培训的药剂师的咨询。咨询后，护理人员需完成问卷B，其中包含满意度和信心水平项目。在初次咨询后进行随访电话，在此期间完成基于知识的问卷C。
分析纳入了32名参与者的数据。接受咨询后护理人员的知识得分有显著提高，咨询前平均得分为8.38 ± 3.92，咨询后平均得分为13.88 ± 3.65（P < 0.001）。大多数人对该服务满意，并对处理孩子的病情有信心。
药剂师主导的湿疹咨询对护理人员的知识有积极影响，并可提高依从性。该服务受到好评，尽管咨询过程中可花费更多时间。
