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沙特阿拉伯药剂师提供姑息治疗服务的知识与意愿:运用计划行为理论

Pharmacists' Knowledge and Intention to Provide Palliative Care Services in Saudi Arabia: Using the Theory of Planned Behaviour.

作者信息

Alshehri Ahmed M, Almogbel Yasser S, Alonazi Rana E, Alshehri Waleed M, Alkhelaifi Hind A, Almutairi Salman A, Alenazi Omar S, Alali Ali Z

机构信息

Clinical Pharmacy Department, College of Pharmacy, Prince Sattam bin Abdulaziz University, Al-Kharj 16273, Saudi Arabia.

Department of Pharmacy Practice, College of Pharmacy, Qassim University, Buraidah 51452, Saudi Arabia.

出版信息

Healthcare (Basel). 2023 Jul 31;11(15):2173. doi: 10.3390/healthcare11152173.

Abstract

Providing palliative care to patients with life-threatening illnesses requires multidisciplinary efforts from different healthcare providers. Identifying the attitude, knowledge, and intentions of pharmacists to provide this service in Saudi Arabia is essential. Therefore, this study aimed to identify the palliative care knowledge, intentions, attitudes, subjective norms, and perceived behavioural control of pharmacists and what factors predict their intentions. Cross-sectional questionnaires based on the theory of planned behaviour were distributed to pharmacists in hospitals and community pharmacies. They included items that measured palliative care knowledge, attitudes, intentions, subjective norms, and the perceived behavioural control of pharmacists and identified other sociodemographic and pharmacy-practice-related items. In total, 131 pharmacists completed the questionnaires, showing an average score on palliative knowledge (8.82 ± 1.96; range: 1-14), strong intentions (5.84 ± 1.41; range: 1-7), positive attitudes (6.10 ± 1.47; range: 1-7), positive subjective norms (5.31 ± 1.32; range: 1-7), and positive perceived behavioural control (5.04 ± 1.21; range: 1-7). Having completed a pharmacy residency program, working longer hours per week, having a more positive attitude, and perceived stronger subjective norms were significantly associated with a strong intention to provide palliative care services. Therefore, enabling and motivating pharmacists to complete pharmacy residency programs and improve their attitudes could increase their intentions to provide these services.

摘要

为患有危及生命疾病的患者提供姑息治疗需要不同医疗服务提供者的多学科努力。了解沙特阿拉伯药剂师提供这项服务的态度、知识和意愿至关重要。因此,本研究旨在确定药剂师的姑息治疗知识、意愿、态度、主观规范和感知行为控制,以及哪些因素可预测他们的意愿。基于计划行为理论的横断面问卷被分发给医院和社区药房的药剂师。问卷包括测量药剂师姑息治疗知识、态度、意愿、主观规范和感知行为控制的项目,并确定了其他社会人口统计学和与药房实践相关的项目。共有131名药剂师完成了问卷,他们在姑息治疗知识方面的平均得分为(8.82±1.96;范围:1 - 14),意愿强烈(5.84±1.41;范围:1 - 7),态度积极(6.10±1.47;范围:1 - 7),主观规范积极(5.31±1.32;范围:1 - 7),感知行为控制积极(5.04±1.21;范围:1 - 7)。完成药学住院医师培训项目、每周工作时间更长、态度更积极以及主观规范更强与提供姑息治疗服务的强烈意愿显著相关。因此,促使并激励药剂师完成药学住院医师培训项目并改善他们的态度,可以增加他们提供这些服务的意愿。

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