Inoue Akio, Kondo Yuki, Kondo Tomoko, Ishitsuka Yoichi
Department of Clinical Chemistry and Informatics, Graduate School of Pharmaceutical Sciences, Kumamoto University, 5-1 Oe-honmachi, Chuo-ku, Kumamoto, 862-0973, Japan.
Kagoshima Pharmaceutical Association, 2-8-15 Yojiro, Kagoshima, 890-8589, Japan.
Clin Exp Nephrol. 2025 Jun 3. doi: 10.1007/s10157-025-02698-5.
Inquiries by community pharmacists to physicians regarding prescriptions for patients with impaired renal function are an important part of pharmaceutical care. However, such inquiries remain infrequent in Japan. To address this, we conducted a study to assess the effects of an educational program aimed at improving pharmacists' understanding of renal function assessment and prescription management.
We evaluated the changes in knowledge and awareness of pharmacists at 14 community pharmacies. The participants watched five instructional videos between September 12 and 18, 2022, and a questionnaire survey was administered immediately before and after the program. In addition, we analyzed pharmacy-level changes in the number of inquiries made to physicians regarding prescriptions related to renal function. The study was performed from June 6 to December 25, 2022. Changes were evaluated using interrupted time series (ITS) analysis.
A total of 43 pharmacists viewed the educational videos. The median number of correct answers increased significantly from seven before the intervention to nine afterwards (p < 0.001). During the study period, 64 inquiries related to renal function were recorded. ITS analysis showed no significant change in the number of inquiries following the intervention.
Although the educational program improved the knowledge of the pharmacists, it did not lead to an increase in the number of inquiries made to physicians. Further larger scale studies are needed to validate the program's effectiveness.
社区药剂师就肾功能受损患者的处方向医生进行询问是药学服务的重要组成部分。然而，在日本，此类询问仍然很少见。为了解决这一问题，我们开展了一项研究，以评估一项旨在提高药剂师对肾功能评估和处方管理理解的教育项目的效果。
我们评估了14家社区药房药剂师的知识和意识变化。参与者在2022年9月12日至18日期间观看了五段教学视频，并在项目前后立即进行了问卷调查。此外，我们分析了药房层面就与肾功能相关处方向医生询问数量的变化。该研究于2022年6月6日至12月25日进行。使用中断时间序列（ITS）分析评估变化情况。
共有43名药剂师观看了教学视频。正确答案的中位数从干预前的7个显著增加到干预后的9个（p < 0.001）。在研究期间，记录了64次与肾功能相关的询问。ITS分析显示干预后询问数量没有显著变化。
尽管该教育项目提高了药剂师的知识水平，但并未导致向医生询问的数量增加。需要进一步开展更大规模的研究来验证该项目的有效性。
