从注册营养师和药剂师的角度对社区药店饮食咨询现状的问卷调查研究。
Questionnaire survey investigation of the present status of dietetic consultation at community pharmacies from the perspectives of registered dietitians and pharmacists.
机构信息
Division of Drug Informatics, Keio University Faculty of Pharmacy, 1-5-30 Shibakouen, Minato-ku, Tokyo, 105-8512, Japan.
I&H Co., Ltd., 18 Omasucho, Ashiya, Hyogo, 659-0066, Japan.
出版信息
BMC Health Serv Res. 2021 Sep 8;21(1):935. doi: 10.1186/s12913-021-06959-3.
BACKGROUND
Registered dietitians are rarely employed at community pharmacies in Japan, even though dietetic advice might benefit some patients.
OBJECTIVE
To clarify the present status of dietetic consultation provided by registered dietitians and their collaboration with pharmacists in community pharmacies.
METHODS
We conducted a cross-sectional questionnaire-based survey of pharmacists and registered dietitians who work in community pharmacies. The surveyed items were: frequency of dietetic consultation, awareness of one's knowledge and ability to conduct dietetic consultation, concerns, pharmacists' recognition of the need for nutritional support at community pharmacies, and cooperation between registered dietitians and pharmacists.
RESULTS
Sixty-six registered dietitians, 53 pharmacists in pharmacies with registered dietitians/dietitians, and 110 pharmacists in pharmacies without registered dietitians/dietitians responded. The frequency of dietetic consultation regarding obesity and hypertension was significantly higher for registered dietitians than for pharmacists. The ability to conduct dietetic consultation regarding diseases/conditions such as kidney disease not requiring dialysis, hyperuricemia, gout, obesity and hypertension was also significantly higher for dietitians than pharmacists. More than 70% of pharmacists recognized the importance of nutritional support at community pharmacies, while 56.1% of registered dietitians noted that they were not able to fully utilize their occupational abilities. Registered dietitians were divided into two groups: registered dietitians who answered that they were able to utilize their occupational abilities and those that answered they were not. The former group was more likely to ask pharmacists about patients' medication for dietetic consultation and to be asked to provide dietetic consultation to patients. The latter group was more likely to find difficulty in scheduling dietetic consultation.
CONCLUSION
Our results suggest that registered dietitians in community pharmacies have a greater explanatory ability than pharmacists concerning nutritional and dietary management for patients. It may be important for pharmacists to improve cooperation with registered dietitians by providing more opportunities for dietetic consultation.
背景
在日本，注册营养师很少在社区药店工作，尽管饮食建议可能对某些患者有益。
目的
阐明注册营养师在社区药店提供饮食咨询服务的现状及其与药剂师的合作情况。
方法
我们对在社区药店工作的药剂师和注册营养师进行了横断面问卷调查。调查项目包括：饮食咨询的频率、对自身进行饮食咨询的知识和能力的认识、关注问题、药剂师对社区药店营养支持需求的认识以及注册营养师与药剂师的合作。
结果
共有 66 名注册营养师、53 名在有注册营养师/营养师的药店工作的药剂师和 110 名在没有注册营养师/营养师的药店工作的药剂师做出了回应。注册营养师在肥胖和高血压方面的饮食咨询频率明显高于药剂师。在不需要透析的肾脏疾病、高尿酸血症、痛风、肥胖和高血压等疾病/病症方面，营养师进行饮食咨询的能力也明显高于药剂师。超过 70%的药剂师认识到社区药店营养支持的重要性，而 56.1%的注册营养师表示他们无法充分利用自己的职业能力。注册营养师分为两组：一组表示能够利用自己的职业能力，另一组表示不能。前者更有可能向药剂师询问患者的用药情况以进行饮食咨询，并被要求为患者提供饮食咨询。后者更有可能在安排饮食咨询方面遇到困难。
结论
我们的结果表明，社区药店的注册营养师在营养和饮食管理方面对患者的解释能力强于药剂师。药剂师通过提供更多的饮食咨询机会来提高与注册营养师的合作可能很重要。
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