Mody Sapana, Kirkdale Charlotte L, Thornley Tracey, Dickinson Aimi, Avery Anthony J, Knaggs Roger, Rann Sarah, Bastable Ruth
Boots UK, Thane Road, Nottingham NG90 1BS, UK.
School of Pharmacy, University of Nottingham, University Park, Nottingham NG7 2RD, UK.
Pharmacy (Basel). 2020 Oct 8;8(4):185. doi: 10.3390/pharmacy8040185.
The misuse of opioids, including codeine which is sold over-the-counter (OTC) in United Kingdom (UK) community pharmacies, is a growing public health concern. An educational Patient Safety Card was developed and piloted to see if it nudged customers into the safe and appropriate use of OTC codeine. Exploratory analysis was conducted by (i) recording quantitative interactions for people requesting OTC codeine in community pharmacies; and (ii) a web-based pharmacy staff survey. Twenty-four pharmacies submitted data on 3993 interactions using the Patient Safety Card. Staff found the majority of interactions (91.3%) to be very or quite easy. Following an interaction using the card, customers known to pharmacy staff as frequent purchasers of OTC codeine were more likely not to purchase a pain relief medicine compared to customers not known to staff (5.5% of known customers did not purchase any pain relief product versus 1.1% for unknown customers (χ = 41.73, df = 1, < 0.001)). These results support both the use of a visual educational intervention to encourage appropriate use of OTC codeine in community pharmacy and the principles behind better self-care.
阿片类药物的滥用，包括在英国社区药房非处方（OTC）销售的可待因，日益引起公众健康关注。为此开发并试点了一张教育性患者安全卡，以了解其是否能促使顾客安全、合理地使用非处方可待因。通过以下方式进行探索性分析：（i）记录社区药房中购买非处方可待因的人的定量互动情况；（ii）开展一项基于网络的药房工作人员调查。24家药房提交了使用患者安全卡的3993次互动的数据。工作人员发现大多数互动（91.3%）非常或相当容易。在使用该卡进行互动后，药房工作人员已知的非处方可待因频繁购买者与工作人员不认识的顾客相比，更有可能不购买止痛药物（已知顾客中有5.5%未购买任何止痛产品，而未知顾客为1.1%（χ = 41.73，自由度 = 1，< 0.001））。这些结果既支持在社区药房使用视觉教育干预措施来鼓励合理使用非处方可待因，也支持更好的自我护理背后的原则。
