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提高克罗地亚社区药剂师检测和解决药物相关问题的临床知识:一项调查教育干预效果的前后对照研究。

Improving community pharmacists' clinical knowledge to detect and resolve drug-related problems in Croatia: a before/after survey study investigating the efficacy of an educational intervention.

作者信息

Zekan Lovre, Mestrovic Arijana, Perisin Ana Seselja, Bukic Josipa, Leskur Dario, Rusic Doris, Modun Darko

机构信息

Split-Dalmatia County Pharmacy, Split, Croatia.

Department of Pharmacy, School of Medicine, University of Split, Split, Croatia.

出版信息

BMJ Open. 2020 Jun 1;10(6):e034674. doi: 10.1136/bmjopen-2019-034674.

Abstract

OBJECTIVES

The aim of this study was to increase the knowledge level of community pharmacists in Croatia to identify and resolve drug-related problems (DRPs).

DESIGN

Before/after survey study.

SETTING

University of Split School of Medicine.

PARTICIPANTS

115 community pharmacists from all over the Croatia.

INTERVENTIONS

An interactive 3-day clinical pharmacy workshop with the goal of increasing the knowledge level of community pharmacists in Croatia to identify and resolve DRPs in routine practice. Teaching methods were based on interactive clinical case solving.

OUTCOME MEASURE

Change of the community pharmacists' knowledge based on preworkshop and postworkshop evaluation. A survey-based clinical knowledge measurement tool was used in order to evaluate the efficacy of the workshop. The lowest possible total score was 0 and the highest was 80. A higher survey score indicates a higher level of clinical knowledge to identify and resolve DRPs.

RESULTS

Participating pharmacists had significantly higher postworkshop mean survey score (49.1±8.0) than the preworkshop mean survey score (42.9±8.2), with the mean score difference of 6.2 (95% CI 4.3 to 8.1). Furthermore, it was found that community pharmacists significantly increased their survey scores, regardless of their age.

CONCLUSIONS

Interactive and case-based clinical pharmacy workshop could be a valuable tool to increase the knowledge of community pharmacists about identification and management of DRPs in routine practice. However, further studies are necessary to evaluate the long-term knowledge maintenance and the improvement in patients' clinical outcomes.

摘要

目的

本研究旨在提高克罗地亚社区药剂师识别和解决药物相关问题(DRP)的知识水平。

设计

前后对照调查研究。

地点

斯普利特大学医学院。

参与者

来自克罗地亚各地的115名社区药剂师。

干预措施

举办为期3天的互动式临床药学研讨会,目的是提高克罗地亚社区药剂师在日常实践中识别和解决DRP的知识水平。教学方法基于互动式临床病例解决。

结果测量

根据研讨会前和研讨会后的评估,社区药剂师知识的变化。使用基于调查的临床知识测量工具来评估研讨会的效果。最低总分可能为0分,最高为80分。调查得分越高表明识别和解决DRP的临床知识水平越高。

结果

参与的药剂师研讨会后的平均调查得分(49.1±8.0)显著高于研讨会前的平均调查得分(42.9±8.2),平均得分差异为6.2(95%CI 4.3至8.1)。此外,发现社区药剂师无论年龄大小,其调查得分均显著提高。

结论

互动式和基于病例的临床药学研讨会可能是提高社区药剂师在日常实践中识别和管理DRP知识的宝贵工具。然而,需要进一步研究来评估长期知识维持情况以及患者临床结局的改善情况。

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