Arnet Isabelle, Holden Michael, Antoniou Sotiris
Department of Pharmaceutical Sciences, Pharmaceutical Care Research Group, University of Basel. Basel (Switzerland).
Consultant, MH Associates. Hampshire (United Kingdom).
Pharm Pract (Granada). 2018 Jul-Sep;16(3):1244. doi: 10.18549/PharmPract.2018.03.1244. Epub 2018 Sep 18.
To evaluate a prompt card (i.e., a post-card sized tool that lists counselling prompt information) with 5 key elements and 3 open key questions to ask patients in community pharmacies.
Community pharmacists practicing in England and accredited to perform consultations used the prompt card during a formal consultation with emphasis on patients receiving oral anticoagulation. Main outcome measure was the number of performed consultations with pharmacists' thoughts and feedbacks in writing.
During 8 weeks, 19 pharmacists (mean age: 36.6 (SD=9) years; 7 women; accredited an average of 12.9 (SD=9.8) years) performed 1,034 consultations and used the prompt card 104 times during anticoagulation consultations. Overall the prompt card was judged practical and relevant by the 16 pharmacists who used it (100%), especially because it outlines what a good consultation should comprise. The key elements offered a logical framework to guide the overall approach when undertaking a consultation. The two questions, "Why do you want to use this medicine?" and "Why would you not want to use this medicine?" generated negative responses from the patient and pharmacists, respectively.
Our prompt card with key questions summarizing all the points that should be addressed in a consultation supported effective communication during patient-pharmacist interaction. Two questions need rephrasing and a further question is needed to determine how patients are using their medicines.
评估一种提示卡（即一张明信片大小的工具，列出咨询提示信息），其包含5个关键要素和3个开放式关键问题，用于社区药房向患者提问。
在英格兰执业并获得咨询认证的社区药剂师在正式咨询期间使用提示卡，重点是接受口服抗凝治疗的患者。主要结局指标是进行咨询的次数以及药剂师以书面形式给出的想法和反馈。
在8周内，19名药剂师（平均年龄：36.6（标准差=9）岁；7名女性；平均获得认证12.9（标准差=9.8）年）进行了1034次咨询，在抗凝咨询期间使用提示卡104次。总体而言，16名使用提示卡的药剂师（100%）认为该提示卡实用且相关，特别是因为它概述了一次良好咨询应包含的内容。关键要素提供了一个逻辑框架，以指导咨询时的整体方法。“你为什么想用这种药？”和“你为什么不想用这种药？”这两个问题分别引起了患者和药剂师的负面反应。
我们的提示卡及关键问题总结了咨询中应涵盖的所有要点，支持了患者与药剂师互动期间的有效沟通。有两个问题需要重新措辞，还需要一个进一步的问题来确定患者如何用药。
