Showande Segun Johnson, Akinbode Tolulope Eunice
University of Ibadan, Department of Clinical Pharmacy and Pharmacy Administration, Ibadan, Nigeria.
Explor Res Clin Soc Pharm. 2024 Aug 20;15:100494. doi: 10.1016/j.rcsop.2024.100494. eCollection 2024 Sep.
Nonsteroidal anti-inflammatory drugs (NSAIDs)-related morbidity and mortality can be reduced through medication counselling and risk reduction.
This study evaluated the impact of short online modular NSAID training on the type and quality of questions asked, risk factors assessed, and counselling offered by community pharmacists to NSAID users.
A cross-sectional questionnaire-guided survey conducted in Ibadan, Nigeria, among 87 pharmacists evaluated the frequency of counselling, NSAID risk factor assessment and barriers to risk assessment. Additionally, a before-and-after RCT was used to evaluate the impact of short online modular NSAID training for the intervention group (IG) on the type and quality of the questions asked, counselling provided, and risk assessed by the pharmacists. Eight standardised patients, aged 25-43 years, four at pre- and postintervention, presented four standardised scenarios at community pharmacies [IG, = 22, control group (CG, = 30)] to assess these outcomes. The quality of each outcome (questions asked, counselling offered and risk assessed) was classified as poor (0-≤20%), fair (>20-≤40%), moderate (>40 - ≤60%), or optimal (>60-100%). The data are presented with descriptive statistics.
The community pharmacists reported counselling patients on NSAID precautions (80-86%) and dosages (51-69%). Gastrointestinal bleeding risk was assessed by 61-89% of the pharmacists, and time constraints (39-42%) and patient impatience (47-75%) were some barriers to risk assessment. Online modular educational intervention significantly improved the types and quality of questions asked by pharmacists (CG: poor to fair, 16%-21%; IG: poor to moderate, 14%-45%), NSAID risk factors assessed (CG: poor to poor, 10%-9%; IG: poor to fair, 11%-27%) and counselling offered (CG: poor to poor, 6%-7%; IG: poor to fair, 6%-22%).
Short online modular educational training on NSAIDs improved the types and quality of the questions asked, NSAID risk factors assessed, and counselling provided by community pharmacists to patients during consultations.
通过药物咨询和降低风险可减少非甾体抗炎药（NSAIDs）相关的发病率和死亡率。
本研究评估了简短的在线模块化NSAID培训对社区药剂师向NSAID使用者提出的问题类型和质量、评估的风险因素以及提供的咨询的影响。
在尼日利亚伊巴丹对87名药剂师进行了一项横断面问卷调查引导的调查，评估了咨询频率、NSAID风险因素评估以及风险评估的障碍。此外，采用干预前后的随机对照试验来评估简短的在线模块化NSAID培训对干预组（IG）药剂师提出的问题类型和质量、提供的咨询以及评估的风险的影响。八名年龄在25 - 43岁的标准化患者，在干预前后各有四名，在社区药房呈现四个标准化场景[IG，n = 22，对照组（CG，n = 30）]以评估这些结果。每个结果（提出的问题、提供的咨询和评估的风险）的质量分为差（0 - ≤20%）、一般（>20 - ≤40%）、中等（>40 - ≤60%）或最佳（>60 - 100%）。数据以描述性统计呈现。
社区药剂师报告向患者咨询了NSAID预防措施（80 - 86%）和剂量（51 - 69%）。61 - 89%的药剂师评估了胃肠道出血风险，时间限制（39 - 42%）和患者不耐烦（47 - 75%）是风险评估的一些障碍。在线模块化教育干预显著改善了药剂师提出的问题类型和质量（CG：从差到一般，16% - 21%；IG：从差到中等，14% - 45%）、评估的NSAID风险因素（CG：从差到差，10% - 9%；IG：从差到一般，11% - 27%）以及提供的咨询（CG：从差到差，6% - 7%；IG：从差到一般，6% - 22%）。
关于NSAIDs的简短在线模块化教育培训改善了社区药剂师在咨询过程中向患者提出的问题类型和质量、评估的NSAID风险因素以及提供的咨询。
