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阿拉伯联合酋长国社区药剂师在糖尿病药物治疗服务方面面临的现状、实践与障碍

Current Perspectives, Practices, and Barriers Faced by Community Pharmacists Regarding Pharmaceutical Care Services for Diabetes Mellitus in the United Arab Emirates.

作者信息

Jairoun Ammar Abdulrahman, Al-Hemyari Sabaa Saleh, Shahwan Moyad, Jairoun Sumaya Abdulrahman, Alorfi Nasser M, Zyoud Sa'ed H, Suliman Abdulhaq A, Shahwan Manar Khalil, Alnuaimi Ghala, Shahwan Monzer, Al-Qirim Tariq, El-Dahiyat Faris

机构信息

Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia (USM), Pulau Pinang, 11500, Malaysia.

Health and Safety Department, Dubai Municipality, Dubai, United Arab Emirates.

出版信息

J Multidiscip Healthc. 2024 May 23;17:2563-2576. doi: 10.2147/JMDH.S447450. eCollection 2024.

Abstract

BACKGROUND

Providing accurate and sufficient information is a crucial requirement for delivering effective diabetes care, making it essential for community pharmacists to possess adequate knowledge of diabetes mellitus (DM) and its management.

OBJECTIVE

To investigate community pharmacists' level of expertise and engagement in providing counseling and health promotion services for individuals with DM in the United Arab Emirates (UAE).

METHODS

A cross-sectional study design was used. The community Pharmacies were chosen via random sampling and researchers then conducted face-to-face interviews with them using the structured questionnaire. The questionnaire included demographic data, 14 questions on the knowledge and 9 questions about the practice concerning pharmaceutical care for Diabetes Mellitus.

RESULTS

The average age ± SD was 31 ± 6.3. Of the total 516 community pharmacists recruited in the study, 37.2% (n=192) were male and 62.8% (n=324) were female. The average knowledge score about DM prevention and management was 9.7 with a 95% confidence interval (CI) [9.5, 9.9] and the average practice score about DM prevention and management was 7.1 with a 95% confidence interval (CI) [6.9, 7.2]. Better knowledge scores were observed in chief pharmacists (OR 1.29; 95% CI 1.08-1.56), pharmacists with 6-10 Years of experience (OR 6.92; 95% CI 3.43-8.86), pharmacist with > 10 years of experience (OR 1.99; 95% CI 1.67-2.36), when the number of patients the pharmacist serve is 5-10 (OR 1.27; 95% CI 1.06-1.53) and being trained on DM prevention and management (OR 2.18; 95% CI 1.92-2.47). Similarly, better practice scores were observed in older participants (OR1.02; 95% CI 1.001-1.03), chain pharmacies (OR 1.42; 95% CI 1.20-1.68), chief pharmacists (OR 1.56; 95% CI 1.18-2.06), when the number of patients the pharmacists serve was 5-10 (OR 12.26; 95% CI 7.26-16.19), when the number of patients the pharmacists serve was 11-20 (OR 4.23; 95% CI 3.54-5.06) and being trained on DM prevention and management (OR 1.33; 95% CI 1.11-1.59). The most commonly reported barriers to providing counseling and health promotion services for diabetes mellitus (DM) in community pharmacies include a lack of coordination with other healthcare professionals (77%) and insufficient knowledge or clinical skills (68.7%).

CONCLUSION

Our study revealed that community pharmacy staff members displayed a noteworthy level of involvement in providing pharmaceutical care services for patients with diabetes mellitus. Based on these findings, it is recommended to enhance pharmacy education by incorporating more advanced, evidence-based training and curricula focusing on disease management and appropriate therapies, particularly for diabetes.

摘要

背景

提供准确且充分的信息是提供有效糖尿病护理的关键要求,这使得社区药剂师掌握足够的糖尿病(DM)及其管理知识至关重要。

目的

调查阿拉伯联合酋长国(UAE)社区药剂师在为糖尿病患者提供咨询和健康促进服务方面的专业水平和参与度。

方法

采用横断面研究设计。通过随机抽样选择社区药房,然后研究人员使用结构化问卷对他们进行面对面访谈。问卷包括人口统计学数据、14个关于糖尿病药物治疗知识的问题和9个关于实践的问题。

结果

平均年龄±标准差为31±6.3岁。在该研究招募的516名社区药剂师中,37.2%(n = 192)为男性,62.8%(n = 324)为女性。糖尿病预防和管理的平均知识得分为9.7,95%置信区间(CI)为[9.5, 9.9];糖尿病预防和管理的平均实践得分为7.1,95%置信区间(CI)为[6.9, 7.2]。在主任药剂师(比值比[OR] 1.29;95% CI 1.08 - 1.56)、有6 - 10年经验的药剂师(OR 6.92;95% CI 3.43 - 8.86)、有超过10年经验的药剂师(OR 1.99;95% CI 1.67 - 2.36)、药剂师服务的患者数量为5 - 10名时(OR 1.27;95% CI 1.06 - 1.53)以及接受过糖尿病预防和管理培训时(OR 2.18;95% CI 1.92 - 2.47),观察到更好的知识得分。同样,在年龄较大的参与者(OR1.02;95% CI 1.001 - 1.03)、连锁药店(OR 1.42;95% CI 1.20 - 1.68)、主任药剂师(OR 1.56;95% CI 1.18 - 2.06)、药剂师服务的患者数量为5 - 10名时(OR 12.26;95% CI 7.26 - 16.19)、药剂师服务的患者数量为11 - 20名时(OR 4.23;95% CI 3.54 - 5.06)以及接受过糖尿病预防和管理培训时(OR 1.33;95% CI 1.11 - 1.59),观察到更好的实践得分。社区药房中为糖尿病患者提供咨询和健康促进服务最常报告的障碍包括与其他医疗保健专业人员缺乏协调(77%)和知识或临床技能不足(68.7%)。

结论

我们的研究表明,社区药房工作人员在为糖尿病患者提供药物治疗服务方面表现出了显著的参与程度。基于这些发现,建议通过纳入更先进的、基于证据的培训以及侧重于疾病管理和适当治疗方法的课程来加强药学教育,尤其是针对糖尿病的教育。

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