Schumacher Pia Madeleine, Neininger Martina Patrizia, Kaune Almuth, Bertsche Thilo
Drug Safety Center and Dept. of Clinical Pharmacy, Leipzig University, Brüderstraße 32, 04103, Leipzig, Germany.
Int J Clin Pharm. 2019 Feb;41(1):151-158. doi: 10.1007/s11096-018-0757-y. Epub 2018 Nov 29.
Background For a safe drug therapy, outpatients have to self-administer their medications correctly. However, these procedures are known as error-prone. In community pharmacies, the pharmaceutical staff has to recognize patients' counseling needs and to use adequate strategies to prevent possible handling errors. Objective Assessing the experiences and opinions of pharmaceutical staff on counseling patients on practical drug handling. Setting Community pharmacies in a German city and surrounding area. Method Descriptively evaluating a self-administered questionnaire to be completed by members of the pharmaceutical staff involved in patient counseling. Main outcome measures Estimated counseling needs of patients, current counseling strategies and limitations of counseling. Results 520 staff members of 119 pharmacies (59.8%, 199 invited) participated. The majority prioritized counseling on dosage over counseling on practical drug handling. Participants saw a particular need when medication was dispensed for the first time compared to repeated use (all medication types, each p < 0.001). The need and counseling strategy depended on the dosage form with a special focus on practical demonstration in bronchopulmonary (83.9%) and oral liquid formulations (54.3%). As one main limitation, they cited the refusal of patients to accept information on drug handling (34.4%). Conclusion Participants considered drug handling an important counseling topic. However, reduced awareness for handling errors made at repeated use and at administration of certain dosage forms may affect the safety and success of medication therapy. Additionally, patients' resistance to information may limit the intent on counseling. Still, it is important to verify patients' abilities to handle their medication as intended.
背景 为了实现安全的药物治疗，门诊患者必须正确自行用药。然而，这些操作容易出错。在社区药房，药剂人员必须识别患者的咨询需求，并采用适当策略以防止可能出现的操作错误。目的 评估药剂人员在为患者提供药物实际操作咨询方面的经验和意见。地点 德国一个城市及周边地区的社区药房。方法 对参与患者咨询的药剂人员填写的一份自填式问卷进行描述性评估。主要观察指标 患者的估计咨询需求、当前的咨询策略以及咨询的局限性。结果 119家药房的520名工作人员（受邀199人，参与率59.8%）参与了调查。大多数人在药物实际操作咨询方面更看重剂量咨询。与重复用药相比，参与者认为首次配药时（所有剂型，p均<0.001）特别需要进行咨询。需求和咨询策略取决于剂型，特别注重支气管肺部剂型（83.9%）和口服液体制剂（54.3%）的实际演示。作为一个主要限制因素，他们提到患者拒绝接受药物操作信息（34.4%）。结论 参与者认为药物操作是一个重要的咨询话题。然而，对重复用药和某些剂型给药时操作错误的认识不足可能会影响药物治疗的安全性和有效性。此外，患者对信息的抵触可能会限制咨询的效果。尽管如此，核实患者按预期处理药物的能力仍然很重要。
