Kumaki Ryota, Hatamoto Momoko, Iida Rina, Kishimoto Keiko
Department of Social Pharmacy, Showa University Graduate School of Pharmacy (Currently known as Department of Social Pharmacy, Showa Medical University Graduate School of Pharmacy), 1-5-8, Hatanodai, Shinagawa-ku, Tokyo, 142-8555, Japan.
Showa University School of Pharmacy (Currently known as Showa Medical University School of Pharmacy), 1-5-8, Hatanodai, Shinagawa-ku, Tokyo, 142-8555, Japan.
J Health Popul Nutr. 2025 Aug 11;44(1):287. doi: 10.1186/s41043-025-01035-6.
A limited number of community pharmacies provide nutritional counseling. Furthermore, despite the increasing number of community pharmacies with registered dietitians on staff, the professional capacities of registered dietitians are not fully utilized. This study aimed to find ways to enhance nutritional interventions in community pharmacies.
Between May and June 2022, an interview survey was conducted with pharmacists and registered dietitians to determine the knowledge and skills that both professionals believe are necessary for community pharmacies and the required improvements. Fifteen respondents-five pharmacists who had completed training related to health support pharmacies (PhHSs), five pharmacists working with a registered dietitian (PhRDs), and five registered dietitians employed in community pharmacies (RdCPs)-were interviewed. The interviews were conducted using the Personal Attitude Construct analysis technique, and the text data obtained were labeled to generate themes.
The following five themes emerged from the intervention points for patients with malnutrition and lifestyle-related diseases: image of the patient in need of intervention, information needed for assessment, correction of patient perceptions, suggestions for feasible ways, and points to consider during the intervention. The following four themes emerged regarding challenges in improving nutritional interventions: establishing a nutritional intervention flow, educating healthcare providers, publicizing to patients, and implementing institutional reforms.
Establishing a structured intervention framework, improving training for healthcare providers, raising patient awareness, and implementing institutional reforms are essential aspects. In addition, optimizing the role of pharmacists and registered dietitians by clarifying the required knowledge and skills can contribute to effective nutritional counseling and enhanced patient outcomes.
提供营养咨询的社区药房数量有限。此外，尽管配备注册营养师的社区药房数量不断增加，但注册营养师的专业能力并未得到充分利用。本研究旨在寻找加强社区药房营养干预的方法。
2022年5月至6月期间，对药剂师和注册营养师进行了访谈调查，以确定这两个专业人员认为社区药房所需的知识和技能以及所需的改进。采访了15名受访者，其中包括5名完成了与健康支持药房（PhHS）相关培训的药剂师、5名与注册营养师合作的药剂师（PhRD）以及5名受雇于社区药房的注册营养师（RdCP）。访谈采用个人态度构建分析技术进行，对获得的文本数据进行标注以生成主题。
从营养不良和生活方式相关疾病患者的干预点中出现了以下五个主题：需要干预的患者形象、评估所需信息、纠正患者认知、可行方法建议以及干预期间需要考虑的要点。关于改善营养干预方面的挑战出现了以下四个主题：建立营养干预流程、对医疗保健提供者进行教育、向患者宣传以及实施机构改革。
建立结构化的干预框架、改进对医疗保健提供者的培训、提高患者意识以及实施机构改革是至关重要的方面。此外，通过明确所需知识和技能来优化药剂师和注册营养师的作用，有助于进行有效的营养咨询并改善患者结局。
