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巴基斯坦旁遮普省药学博士最后一年学生阿片类药物配药能力的横断面评估:一项多中心研究

A Cross-Sectional Evaluation of Opioid Dispensing Competencies in Final-Year Pharm-D Students: A Multicenter Study from Punjab, Pakistan.

作者信息

Mubarak Naeem, Rahman Rana Fatima, Zahid Taheer, Ijaz Umm-E-Barirah, Shabbir Afshan, Ghulam Bari Ahtesham, Niaz Bisma, Kanwal Sabba, Saif-Ur-Rahman Nasira, Iqbal Zahid, Khan Asad Majeed, Zin Che Suraya, Mahmood Khalid, Elnaem Mohamed Hassan, Tariq Saba

机构信息

Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Lahore University of Biological and Applied Sciences, Lahore, Pakistan.

Pharmacy Manager, Servaid Pharmacy, 24-M Quaid-E-Azam Industrial Estate, Lahore, Punjab, Pakistan.

出版信息

Drug Healthc Patient Saf. 2024 Dec 28;16:133-144. doi: 10.2147/DHPS.S491717. eCollection 2024.

DOI:10.2147/DHPS.S491717
PMID:39749185
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11693936/
Abstract

BACKGROUND

The opioid crisis continues to be a public health concern worldwide due to the high rates of misuse and associated mortality. Opioid dispensing competencies are critical for pharmacy graduates to promote the rational use of opioids.

PURPOSE

To evaluate the opioids dispensing competencies among the final year Pharm-D students in Punjab, Pakistan.

DESIGN

A multicenter cross-sectional study.

METHODS

A validated survey was used to evaluate 11 competencies related to opioid use from the final year Pharm-D students from diversely located accredited institutes. On a summative scale, correct response to each survey item was worth a score/point. Descriptive statistics was used for categorical variables while independent -test computed group differences.

RESULTS

A total of n = 661 final year Pharm-D students from 28 institutes (8 public and 20 private) completed the survey with an overall response rate of 78.5%. Comparatively, the students who had either completed a community or hospital internship, or studying in the educational institutions located in the provincial capital demonstrated a significant higher competency score. There was no significant difference in the overall mean competency scores based on gender or system of assessment used in the Pharm-D degree programs. Among eleven opioid competencies, students received the lowest scores for "opioid overdose management", "opioid monitoring" and "therapeutic uses of opioids".

CONCLUSION

Pharm-D students in Pakistan require additional training and skills on many of the opioids related competencies to ensure patient's safety in healthcare settings. There is a need to revise the curriculum and teaching methodologies to improve the competencies of Pharm-D students in opioid dispensing.

摘要

背景

由于阿片类药物的高滥用率及相关死亡率,阿片类药物危机仍是全球公共卫生关注的问题。阿片类药物配药能力对于药学专业毕业生促进阿片类药物的合理使用至关重要。

目的

评估巴基斯坦旁遮普省药学博士专业最后一年学生的阿片类药物配药能力。

设计

一项多中心横断面研究。

方法

采用经过验证的调查问卷,对来自不同地点经认可机构的药学博士专业最后一年学生与阿片类药物使用相关的11项能力进行评估。在汇总量表上,对每个调查项目的正确回答计一分。分类变量采用描述性统计,同时通过独立样本t检验计算组间差异。

结果

来自28所机构(8所公立和20所私立)的总共n = 661名药学博士专业最后一年学生完成了调查,总体回复率为78.5%。相比之下,那些完成了社区或医院实习,或在省会教育机构学习的学生,其能力得分显著更高。基于性别或药学博士学位课程中使用的评估体系,总体平均能力得分没有显著差异。在11项阿片类药物能力中,学生在“阿片类药物过量管理”“阿片类药物监测”和“阿片类药物的治疗用途”方面得分最低。

结论

巴基斯坦的药学博士专业学生在许多与阿片类药物相关的能力方面需要额外的培训和技能,以确保医疗环境中患者的安全。有必要修订课程和教学方法,以提高药学博士专业学生在阿片类药物配药方面的能力。

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本文引用的文献

1
Are pharmacists on the front lines of the opioid epidemic? A cross-sectional study of the practices and competencies of community and hospital pharmacists in Punjab, Pakistan.药剂师是否处于阿片类药物流行的前线?对巴基斯坦旁遮普省社区和医院药剂师的实践和能力的横断面研究。
BMJ Open. 2023 Nov 21;13(11):e079507. doi: 10.1136/bmjopen-2023-079507.
2
Therapy for HIV-associated cryptococcal meningitis: a case report demonstrating a new treatment approach emphasizing updated treatment guidelines.人类免疫缺陷病毒相关隐球菌性脑膜炎的治疗:一例病例报告展示了一种强调最新治疗指南的新治疗方法。
Drugs Ther Perspect. 2023 Jun 12:1-6. doi: 10.1007/s40267-023-01001-4.
3
Student pharmacists' attitudes, perceptions, and knowledge regarding opioid use, misuse, and overdose: Four years of data.学生药剂师对阿片类药物使用、滥用和过量的态度、看法和知识:四年的数据。
Curr Pharm Teach Learn. 2022 Oct;14(10):1222-1228. doi: 10.1016/j.cptl.2022.09.012. Epub 2022 Sep 15.
4
Opioid Misuse: A Review of the Main Issues, Challenges, and Strategies.阿片类药物滥用:主要问题、挑战和策略综述。
Int J Environ Res Public Health. 2022 Sep 17;19(18):11754. doi: 10.3390/ijerph191811754.
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Patterns of school and college of pharmacy engagement in addressing the opioid crisis.药学专业院校参与解决阿片类药物危机的模式。
Curr Pharm Teach Learn. 2022 Oct;14(10):1215-1221. doi: 10.1016/j.cptl.2022.09.007. Epub 2022 Sep 16.
6
Opioids for acute pain management in children.阿片类药物在儿童急性疼痛管理中的应用。
Anaesth Intensive Care. 2022 Mar;50(1-2):81-94. doi: 10.1177/0310057X211065769. Epub 2022 Feb 16.
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Availability of Essential Antidotes and the Role of Community Pharmacists in the Management of Acute Poisoning: A Cross-Sectional Study in Ethiopia.基本解毒剂的供应情况以及社区药剂师在急性中毒管理中的作用:埃塞俄比亚的一项横断面研究。
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Opioids in acute pain: Towards getting the right balance.急性疼痛中的阿片类药物:寻求恰当的平衡。
Anaesth Intensive Care. 2022 Mar;50(1-2):68-80. doi: 10.1177/0310057X211070003. Epub 2022 Feb 3.
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