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前列腺癌患者与药剂师沟通:作为医疗人性化策略的定性研究

Pharmacist-Patient Communication in Prostate Cancer as a Strategy to Humanize Health Care: A Qualitative Study.

作者信息

Scarabelin Aline, Santana Dosea Aline, Aguiar Patricia Melo, Storpirtis Sílvia

机构信息

Department of Pharmacy, Faculty of Pharmaceutical Sciences, University of Sao Paulo, Sao Paulo, Brazil.

Department of Pharmacy, Federal University of Sergipe, São Cristovao, Brazil.

出版信息

J Patient Exp. 2019 Jun;6(2):150-156. doi: 10.1177/2374373518786508. Epub 2018 Jul 16.

Abstract

BACKGROUND

Pharmacists require effective communication skills to enhance involvement in patient care. Nevertheless, there are few qualitative studies exploring "how" pharmacist-patient communication occurs and none targets patients with cancer.

OBJECTIVE

To describe the perceptions of outpatients with prostate cancer regarding the communication process during clinical pharmacy service in a community pharmacy.

METHODS

A qualitative study was performed from semistructured interviews with 10 patients. These interviews were audiotape-recorded and transcribed comprehensively, and the data were analyzed using content analysis. The validation of the categories and registration units was made by 2 independent authors and reviewed by a third author.

RESULTS

Three categories were established from the content analysis (general perceptions of the pharmacist-patient communication, potentialities of effective communication, and points for improvement). Communication is a complex process and involves, in addition to information exchange, the sharing of thoughts, desires, and fears. Our findings hold that effective communication skills by pharmacist can help patients validate their concerns, develop a trusting patient-pharmacist relationship, address drug therapy problems, and lead to better health outcomes.

CONCLUSION

Pharmacist-patient communication is an important strategy for humanized practice. This allows the pharmacist to see beyond an individual with health problems to a human being with particularized needs.

摘要

背景

药剂师需要有效的沟通技巧来加强对患者护理的参与。然而,很少有定性研究探讨药剂师与患者的沟通是“如何”发生的,并且没有针对癌症患者的研究。

目的

描述前列腺癌门诊患者对社区药房临床药学服务期间沟通流程的看法。

方法

通过对10名患者进行半结构化访谈开展定性研究。这些访谈进行了录音并全面转录,使用内容分析法对数据进行分析。类别和登记单位由两名独立作者进行验证,并由第三位作者进行审核。

结果

通过内容分析确定了三个类别(对药剂师与患者沟通的总体看法、有效沟通的潜力以及改进要点)。沟通是一个复杂的过程,除了信息交流外,还涉及思想、愿望和恐惧的分享。我们的研究结果认为,药剂师有效的沟通技巧可以帮助患者确认他们的担忧,建立信任的医患关系,解决药物治疗问题,并带来更好的健康结果。

结论

药剂师与患者的沟通是人性化实践的一项重要策略。这使药剂师能够超越有健康问题的个体,看到有特定需求的人。

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