Cooney Eva, O'Riordan David, McSharry Jennifer
Health Behaviour Change Research Group, School of Psychology, National University of Ireland, Galway, Galway, Ireland.
School of Public Health, University College Cork, Cork, Ireland.
HRB Open Res. 2022 Apr 11;4:20. doi: 10.12688/hrbopenres.13192.2. eCollection 2021.
Support for people with diabetes is necessary for optimal self-management. Structured diabetes education programmes fulfil this need, but attendance rates are consistently low. The role of pharmacists has expanded but the profession remains underutilised in chronic disease management. The objective of this study is to explore pharmacists' perceived role in the support of diabetes education and self-management behaviours. A qualitative study using semi-structured interviews of community pharmacists in Ireland was conducted. Interviews were audio-recorded, transcribed verbatim and analysed using inductive thematic analysis. Ten pharmacists were interviewed. The four themes identified illustrate the juxtaposition of pharmacists' potential in diabetes care with the realities of current pharmaceutical practice. One theme outlined the relationship between the person with diabetes and the pharmacist, 'Patient or customer: the nature of the pharmacist relationship'. Two themes described the pharmacists' role in supporting diabetes education and self-management, 'Beyond medication: pharmacists' current and potential role in diabetes management' and 'Need for diabetes education'. The final theme highlighted the barriers to a more engaged role in patient care, 'Barriers: "all the stuff that gets in the way"'. The relationship between pharmacists and people with diabetes could facilitate pharmacists in supporting diabetes self-management. However, variability across pharmacists' level of involvement and consistent resource barriers were noted. Pharmacists were poorly informed about structured diabetes education programmes. Further research is needed to explore this variability but there may be potential to enhance the pharmacist role in promoting attendance at structured diabetes education programmes.
对糖尿病患者而言，要实现最佳自我管理，提供支持很有必要。结构化糖尿病教育项目满足了这一需求，但参与率一直很低。药剂师的作用已经扩大，但在慢性病管理方面，该职业仍未得到充分利用。本研究的目的是探讨药剂师在支持糖尿病教育和自我管理行为方面所感知到的作用。我们对爱尔兰社区药剂师进行了半结构化访谈，开展了一项定性研究。访谈进行了录音，逐字转录，并采用归纳主题分析法进行分析。共采访了10名药剂师。确定的四个主题说明了药剂师在糖尿病护理方面的潜力与当前药学实践现实之间的并列情况。一个主题概述了糖尿病患者与药剂师之间的关系，即“患者还是顾客：药剂师关系的本质”。两个主题描述了药剂师在支持糖尿病教育和自我管理方面的作用，即“超越药物：药剂师在糖尿病管理中的当前和潜在作用”以及“对糖尿病教育的需求”。最后一个主题强调了在患者护理中更积极发挥作用的障碍，即“障碍：‘所有阻碍因素’”。药剂师与糖尿病患者之间的关系有助于药剂师支持糖尿病自我管理。然而，注意到药剂师参与程度存在差异，且资源障碍始终存在。药剂师对结构化糖尿病教育项目了解不足。需要进一步研究来探讨这种差异，但在提高药剂师在促进参与结构化糖尿病教育项目方面的作用方面可能存在潜力。
