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对糖尿病护理的理解、态度及障碍:中国社区药师影响因素分析

Understandings, Attitudes, and Barriers About Diabetes Care: Analysis of Factors Influencing Community Pharmacists in China.

作者信息

Wang Jia, Pei Yuyao, Yu Feng, Kang Zhen, Zheng Yufen

机构信息

Department of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, Jiangsu Province, People's Republic of China.

出版信息

Diabetes Metab Syndr Obes. 2021 May 3;14:1999-2009. doi: 10.2147/DMSO.S304066. eCollection 2021.

Abstract

PURPOSE

Diabetes mellitus (DM) has been known as a major chronic health problem in China. Suboptimal management of diabetic patients may incur serious complications, even death. The quality of post-hospital care has a good relationship with community pharmacists. However, data describing the current situation from care between community pharmacists and patients in China are lacking. Our article is to investigate community pharmacists' activities, evaluate their attitudes towards providing diabetes care, assess their understandings, and identify perceived barriers.

METHODS

A survey divided into four parts was carried out randomly in China. The part of basic characteristics, understandings, and pharmacists' perceived barriers was rated with a few listed choices scales, while the Likert scale was used to identify on the part of attitudes. Quantitative data were shown in frequency and valid percent. One-way analysis of variance (ANOVA) and non-parametric test conducted on data. A P-value ≤0.05 was considered statistically significant.

RESULTS

A total of 737 surveys were collected. The respondent pharmacists maintained a simply moderate understanding of diabetes care and the pharmaceutical services provided met basic needs rather than clinical ones, though they showed a good momentum towards providing better service. The respondent pharmacists considered patients lacking knowledge on self-management, shortage of funds as the main barriers.

CONCLUSION

Efforts are supposed to make to expand pharmacists' scope of practice, lessen patients' reluctance, and create platforms for pharmacists receiving further education.

摘要

目的

糖尿病在中国一直是一个主要的慢性健康问题。糖尿病患者管理不善可能会引发严重并发症甚至死亡。院后护理质量与社区药剂师密切相关。然而,目前缺乏描述中国社区药剂师与患者之间护理现状的数据。我们的文章旨在调查社区药剂师的活动,评估他们对提供糖尿病护理的态度,评估他们的理解,并找出感知到的障碍。

方法

在中国随机开展了一项分为四个部分的调查。基本特征、理解和药剂师感知障碍部分采用多项选择量表评分,态度部分采用李克特量表评分。定量数据以频率和有效百分比表示。对数据进行单因素方差分析(ANOVA)和非参数检验。P值≤0.05被认为具有统计学意义。

结果

共收集到737份调查问卷。参与调查的药剂师对糖尿病护理的理解仅处于中等水平,所提供的药学服务满足基本需求而非临床需求,尽管他们表现出提供更好服务的良好势头。参与调查的药剂师认为患者缺乏自我管理知识、资金短缺是主要障碍。

结论

应努力扩大药剂师的执业范围,减少患者的抵触情绪,并为药剂师创造接受继续教育的平台。

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