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围产期妇女对药剂师提供围产期抑郁筛查的看法:一项定性研究。

Perinatal Women's Views of Pharmacist-Delivered Perinatal Depression Screening: A Qualitative Study.

机构信息

The University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2050, Australia.

Sydney School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2050, Australia.

出版信息

Int J Environ Res Public Health. 2022 Dec 5;19(23):16295. doi: 10.3390/ijerph192316295.

Abstract

Internationally, 20% of women experience perinatal depression (PND). Healthcare providers including general practitioners and midwives are critical in providing PND screening and support; however, the current workforce is unable to meet growing demands for PND care. As accessible and trusted primary healthcare professionals, pharmacists could provide PND care to complement existing services, thereby contributing to early detection and intervention. This study aimed to explore perinatal women's views of community pharmacist-delivered PND screening and care, with a focus on their attitudes towards and acceptability of PND screening implementation in community pharmacy. Semi-structured interviews with women ( = 41) were undertaken, whereby interview data were transcribed verbatim and then inductively and thematically analysed. Five overarching themes emerged; "patient experience with existing PND support and screening services"; "familiarity with pharmacists' roles"; "pharmacist visibility in PND screening care"; "patient-pharmacist relationships" and "factors influencing service accessibility". Themes and subthemes were mapped to the Consolidated Framework for Implementation Research. Findings highlight participants' generally positive attitudes towards community pharmacist-delivered PND screening and care, and the potential acceptability of such services provided pharmacists are trained and referral pathways are established. Addressing perceived barriers and facilitators would allow community pharmacist-delivered PND screening and care to support existing PND care models.

摘要

在国际上,20%的女性经历围产期抑郁症(PND)。包括全科医生和助产士在内的医疗保健提供者在提供 PND 筛查和支持方面至关重要;然而,当前的劳动力无法满足不断增长的 PND 护理需求。作为可及且值得信赖的初级保健专业人员,药剂师可以提供 PND 护理,以补充现有服务,从而有助于早期发现和干预。本研究旨在探讨围产期妇女对社区药剂师提供的 PND 筛查和护理的看法,重点是她们对社区药剂师实施 PND 筛查的态度和接受程度。对 41 名妇女进行了半结构化访谈,对访谈数据进行了逐字转录,然后进行了归纳和主题分析。出现了五个总体主题;“现有 PND 支持和筛查服务的患者体验”;“对药剂师角色的熟悉程度”;“药剂师在 PND 筛查护理中的可见度”;“患者-药剂师关系”和“影响服务可及性的因素”。主题和子主题被映射到实施研究的综合框架。研究结果突出了参与者对社区药剂师提供的 PND 筛查和护理的普遍积极态度,以及如果对药剂师进行培训并建立转诊途径,此类服务的潜在可接受性。解决感知到的障碍和促进因素将允许社区药剂师提供的 PND 筛查和护理支持现有的 PND 护理模式。

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