Hibino Yasushi, Matsumoto Shohei, Nagase Hisamitsu, Nakamura Takamasa, Kato Yoshihito, Isomura Tatsuya, Hori Michiko
Gifu Prefecture Pharmacists Association, Gifu, Japan.
Ogaki Pharmacists Association, Gifu, Japan.
Integr Pharm Res Pract. 2023 Apr 24;12:87-99. doi: 10.2147/IPRP.S408813. eCollection 2023.
Contributing to public health by supporting people's health is the social mission of community pharmacists. This multicenter, prospective case series study aimed to evaluate changes in people's behavior and health states through community pharmacists' self-care support for healthy lifestyles.
The participants were recruited from voluntary adults aged ≥20 years who agreed to participate in the study, at community pharmacies in Gifu, Japan, between June and September 2021. Participants self-managed their lifestyles for six months while recording their health data, including blood pressure (BP), daily using devices (home BP monitor, body composition monitor, and activity meter) and a diet-recording app. They received lifestyle modification support at pharmacies at least once per month. Participants' subjective health status, attitudes, and behavioral changes were evaluated using self-report questionnaires. Due to the exploratory nature of this study, data were primarily analyzed descriptively.
Fifty-four participants aged 20 to 77 (mean age: 49.6 years; female participant proportion: 55.6%) participated in this study. Their mean weekly BP shifted almost horizontally from baseline to week 24 (systolic BP: 118.8 to 121.5 mmHg; diastolic BP: 76.1 to 77.5 mmHg). At six months, 38.9% and 35.2% of the participants reported better overall health and mental health, respectively, than at baseline. Over 85% of the participants became more proactive in improving their lifestyles regarding salt intake, diet, weight loss, and exercise, although drinking and smoking habits were more challenging to change. All the participants reported that they intended to continue to improve their lifestyle.
The participants' responses suggested that community pharmacists' support helped increase participants' health awareness and promote their health-enhancing behaviors. However, its impact on health parameters should be further examined in future studies. More vigorous, tailored self-care support may be worth considering in developing a more effective, community-fitted health/well-being support system in Japan.
通过支持人们的健康来促进公众健康是社区药剂师的社会使命。这项多中心前瞻性病例系列研究旨在评估社区药剂师对健康生活方式的自我保健支持对人们行为和健康状况的影响。
2021年6月至9月期间，在日本岐阜的社区药房招募了年龄≥20岁、同意参与研究的自愿成年人作为参与者。参与者在记录包括血压（BP）、日常使用设备（家用血压计、身体成分监测仪和活动计）以及饮食记录应用程序在内的健康数据的同时，自我管理生活方式六个月。他们每月至少在药房接受一次生活方式改善支持。使用自我报告问卷评估参与者的主观健康状况、态度和行为变化。由于本研究的探索性质，数据主要进行描述性分析。
54名年龄在20至77岁之间（平均年龄：49.6岁；女性参与者比例：55.6%）的参与者参与了本研究。他们的平均每周血压从基线到第24周几乎呈水平变化（收缩压：从118.8 mmHg到121.5 mmHg；舒张压：从76.1 mmHg到77.5 mmHg）。六个月时，分别有38.9%和35.2%的参与者报告总体健康和心理健康状况比基线时更好。超过85%的参与者在减少盐摄入、饮食、减肥和锻炼等生活方式改善方面变得更加积极主动，尽管饮酒和吸烟习惯更难改变。所有参与者都表示他们打算继续改善生活方式。
参与者的反馈表明，社区药剂师的支持有助于提高参与者的健康意识并促进他们的健康促进行为。然而，其对健康参数的影响应在未来研究中进一步探讨。在日本开发更有效、更适合社区的健康/福祉支持系统时，可能值得考虑更有力、更有针对性的自我保健支持。
