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开发一种工具,以支持以中风幸存者为中心的以人为主导的医学为重点的咨询。

Development of a tool to support person-centred medicine-focused consultations with stroke survivors.

机构信息

Medway School of Pharmacy, Universities of Kent and Greenwich at Medway, Chatham Maritime, Kent, ME4 4TB, United Kingdom.

Medway School of Pharmacy, Universities of Kent and Greenwich at Medway, Chatham Maritime, Kent, ME4 4TB, United Kingdom.

出版信息

Patient Educ Couns. 2019 Jul;102(7):1263-1272. doi: 10.1016/j.pec.2019.02.007. Epub 2019 Feb 8.

DOI:10.1016/j.pec.2019.02.007
PMID:30765119
Abstract

OBJECTIVE

To develop a tool to support medicine-focused person-centred consultations between community pharmacists and stroke survivors.

METHOD

Semi-structured interviews with 15 stroke survivors and 16 community pharmacists were conducted. Thematic analysis of the data was performed and emerging themes examined to determine their relevance to the principles of delivering person-centred care. Findings were used to generate a framework from which a consultation tool was created. Face validity and the feasibility of using the tool in practice were explored with participating pharmacists.

RESULTS

Three major themes were identified; personal, process and environmental factors. A tool, in two parts, was developed, A 'Getting to know me' form which would help the pharmacist to appreciate the individual needs of the stroke survivor and a consultation guide to facilitate the consultation process. Pharmacists considered that both were useful and would support a person-centred medicine-focussed consultation.

CONCLUSION

A consultation tool, reflecting the needs of stroke survivors, has been developed and is feasible for use within community pharmacy practice.

PRACTICE IMPLICATIONS

Pharmacists must recognise the individual needs of stroke survivors to ensure that they provide consultations which are truly person-centred. The tool developed could support medicine-related consultations with patients with other long term conditions.

摘要

目的

开发一种工具,以支持社区药剂师与中风幸存者之间以医学为重点的以患者为中心的咨询。

方法

对 15 名中风幸存者和 16 名社区药剂师进行了半结构化访谈。对数据进行了主题分析,并检查了出现的主题,以确定它们与提供以患者为中心的护理原则的相关性。研究结果用于生成一个框架,在此框架的基础上创建了一个咨询工具。参与的药剂师探索了该工具在实践中的表面有效性和可行性。

结果

确定了三个主要主题;个人、过程和环境因素。开发了两个部分的工具,一个是“了解我”表格,它可以帮助药剂师了解中风幸存者的个人需求,另一个是咨询指南,以促进咨询过程。药剂师认为这两个工具都很有用,可以支持以患者为中心的医学为重点的咨询。

结论

已经开发出一种反映中风幸存者需求的咨询工具,并且在社区药房实践中是可行的。

实践意义

药剂师必须认识到中风幸存者的个人需求,以确保他们提供真正以患者为中心的咨询。开发的工具可以支持与其他长期病症患者进行药物相关的咨询。

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