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“开放式问题”与“展示并讲解”——一种改善药剂师咨询服务及患者用药处理能力的方法。

'Open-ended questions' and 'show-and-tell'--a way to improve pharmacist counselling and patients' handling of their medicines.

作者信息

Ekedahl A

机构信息

Hjorten Pharmacy, Lund, Sweden.

出版信息

J Clin Pharm Ther. 1996 Apr;21(2):95-9. doi: 10.1111/j.1365-2710.1996.tb00007.x.

DOI:10.1111/j.1365-2710.1996.tb00007.x
PMID:8809646
Abstract

Pharmacists must ensure that patients know how to make the best use of their medication. An education programme was initiated in the southernmost part of Sweden during 1990 in order to improve the communication skills of pharmacy staff and the information given to customers. Customers with prescriptions for Turbuhaler were asked to 'show-and-tell' how they used their inhalers, and the results were documented. In April 1992, 53% of patients handled their Turbuhaler correctly. One year later a significantly higher proportion of the patients (67%) used their inhalers correctly. If patients are asked to 'show-and-tell' how they use their medication and how they interpret the information given, then errors in their handling of the medicines can be revealed. If advice on the proper use of drugs is given to individual patients, then mishandling is reduced. The study used an open design, so the conclusions drawn can only be tentative. However, the magnitude of the change observed suggests that the conclusions are valid.

摘要

药剂师必须确保患者知道如何充分利用他们的药物。1990年在瑞典最南端启动了一项教育计划,以提高药房工作人员的沟通技巧以及向顾客提供的信息。持有都保(Turbuhaler)处方的顾客被要求“演示并讲述”他们如何使用吸入器,并记录结果。1992年4月,53%的患者正确使用都保。一年后,正确使用吸入器的患者比例显著提高(67%)。如果要求患者“演示并讲述”他们如何使用药物以及如何理解所提供的信息,那么就可以发现他们在用药过程中的错误。如果针对个体患者提供正确用药的建议,那么用药不当的情况就会减少。该研究采用开放式设计,因此得出的结论只能是初步的。然而,观察到的变化幅度表明这些结论是有效的。

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