Vicary Pharmacy Services Limited, Napier, New Zealand.
Hawke's Bay District Health Board, Hastings, New Zealand.
Int J Pharm Pract. 2020 Dec;28(6):569-578. doi: 10.1111/ijpp.12666. Epub 2020 Sep 17.
Acute kidney injury (AKI) prevention strategies for community-acquired AKI associated with severe acute illness have received attention in recent years. The objective of this study was to evaluate a community pharmacist AKI education programme aimed at patient self-management during acute dehydrating illnesses.
This was a multimethod study. Potential participants were identified by community pharmacists when they presented a prescription containing a study medicine. The intervention consisted of completion of a short demographic questionnaire and a pharmacist providing verbal AKI information and advice on self-management during acute dehydrating illness, including medicine withholding. This information was supported with take-home information. Participants were telephoned between 4 and 11 months later and invited to participate in a structured telephone interview. Descriptive statistics were generated from questionnaire responses, and interview data were analysed using manifest content analysis.
One hundred and thirteen adults were recruited and 93 (82%) interviewed. Fifty-four (58%) interviewees remembered the pharmacist's education, and 51 (55%) had retained the information sheet. Fifty-eight (62%) would temporarily withhold medicines during acute dehydrating illnesses. Thirty-nine were comfortable they knew when to restart their medicines; 15 (38%) indicated this was once symptom-free for 48 h. Forty-six interviewees were comfortable about contacting their general practice; 16 (35%) would do this after 24 h of illness. Participants found the educational content and pharmacist approach acceptable.
A majority of participants accepted and remembered the information provided by their community pharmacist and felt comfortable to self-manage during acute dehydrating illness. A caveat is participant actions in practice may not be consistent with stated intentions.
近年来，人们对与严重急性疾病相关的社区获得性急性肾损伤（AKI）的预防策略给予了关注。本研究的目的是评估一项针对社区药剂师的 AKI 教育计划，该计划旨在针对急性脱水疾病患者进行自我管理。
这是一项多方法研究。当社区药剂师在开出处方含有研究药物时，会识别出潜在的参与者。干预措施包括完成简短的人口统计学问卷，药剂师提供口头 AKI 信息，并提供急性脱水疾病期间的自我管理建议，包括药物暂停。该信息由家庭信息支持。在 4 至 11 个月后，通过电话联系参与者，并邀请他们参加结构化电话访谈。从问卷回答中生成描述性统计数据，并使用显式内容分析对访谈数据进行分析。
共招募了 113 名成年人，其中 93 名（82%）接受了访谈。54 名（58%）受访者记得药剂师的教育，51 名（55%）保留了信息表。58 名（62%）人会在急性脱水疾病期间暂时停止服用药物。39 人对何时重新开始服用药物有信心；15 人（38%）表示一旦症状缓解 48 小时即可重新开始服用药物。46 名受访者对联系他们的全科医生感到放心；16 人（35%）会在生病 24 小时后这样做。参与者对教育内容和药剂师的方法表示接受和满意。
大多数参与者接受并记住了社区药剂师提供的信息，并在急性脱水疾病期间感到舒适，可以进行自我管理。需要注意的是，参与者在实践中的行为可能与陈述的意图不一致。
