| 摘要: | 本研究探討居住於桃園縣，分別於不同年度曾接受過藥事照護服務的長者，藉由問卷調查瞭解其對藥事照護的認知、需求性及滿意度，據以提供政策性經費的考量，並列入長期照護中心常規服務事項中。 針對2011年至2013年曾接受居家藥事照護65歲以上長者進行研究探討，本次收案65歲以上被曾接受居家藥事照護的長者共385位，利用電話問卷訪談，完成問卷共有137份(回收率 35.6%)，以SPSS進行描述性統計、信度分析、變異數分析、迴歸分析等。本研究結果顯示，受試者對藥事照護的認知為 79.0 %，滿意度為 84.5%及需求為 71.7% ，尤其是民眾覺得藥事照護能讓他們更瞭解疾病、用藥、避免副作用等，讓民眾對治療有信心，對藥師專業、服務態度及縣府安排居家藥事照護均相當滿意，也覺得在家接受藥事服務比社區及醫院藥局是輕鬆自在的，本研究也證明認知影響滿意度及需求，呈現正相關，此結果給桃園縣府及藥事服務團隊的鼓勵與肯定。未來努力讓藥事服務團隊不斷增進藥事服務專業能力，培訓更多的藥事精英，為營造桃園縣成為健康暨高齡友善的城市，積極爭取將藥事照護服務費列入縣府常態預算，規畫長期性藥事照護服務，讓藥師覺得是一個可長可遠的工作，即可吸引更多的藥師願意以正職或兼職的方式投入藥事照護的行列。在剩藥行為的探討結果為本次受訪者多為醫院就醫，有59%回答不會產生剩藥，在回答產生剩藥者以 71 歲以上、不識字、家管、女性為多，藥品種類為感冒藥，剩藥產生原因為病好了就不吃，由於感冒藥多為症狀解除病好了就不吃，尚不致於影響病情身體重大危害，處理方式為丟垃圾桶，綜上本縣廢棄藥品宣導成效尚可但仍要加強遵醫囑用藥安全宣導。藥事照護是民眾普遍認為「有感」的衛生照護政策，除了提升民眾用藥正確觀念，也教導拒絕不安全藥品，不必要保健食品的銷售，避免年長者受騙，也有相當多的子女給予正面肯定。未來桃園縣除現有的運作模式以外，也將以偏鄉地區的獨居長者，作為藥事宣導及照護的主要對象，期能將有限的資源，發揮最大的公共衛生效益。
The Taoyuan Country Health Bureau has offered free pharmaceutical care for senior citizens for three years. This study intends to investigate the cognition, demand, and satisfaction about the services senior residents, and behavior of medication disposal.Total of 385 senior citizens received this services. There were 137 subjects who agreed to attend this study. Descriptive analysis, Chi-Squared, t-test, and multiple linear regression were performed for statistical analysis using SPSS. The results of this study showed that cognitive subjects of pharmaceutical care, satisfaction and demand were 79.0%, 84.5% and 71.7%, especially the services gain them to understand the goal of medication, avoid side effects, and the service attitude of the pharmacists such as general attitude and providing information and explanations , it make them confidence in the treatment of pharmacists professional service and community pharmacy care are quite satisfied, but also accept pharmaceutical care at home than community and hospital pharmacy is , this study also demonstrated the cognition, satisfaction and demand, showing a positive correlation, this results to the Taoyuan country Government and pharmaceutical services team encouragement and affirmation. To upgrade the ability of the pharmacist’s pharmaceutical care is necessary in the future, training more pharmacists recruiters, to create a health-cum-Taoyuan County, age-friendly city.to struggle the regular forecast budget for Taoyuan willing be a profession pharmaceutical care pharmacists. Medication waste is a problem worldwide. It is a burden to national health insurance, not only due to the cost of the drugs being returned, but also due to the cost of disposing of the returned items. Causes of this waste can include excess supply, treatment changes, and patient nonadherence, as well as other reasons. Research has shown that accidental and intentional nonadherence to respiratory medications is common and that this nonadherence, as well as underuse of inhaled corticosteroids and overuse of short-acting b-agonists, consumes significantly more healthcare resources. The most returned medication was acetaminophen,which is not unexpected, given that it is also the most prescribed medication. Many of the most returned drugs were of an as-needed nature, such as analgesics, laxatives, antiemetics, and antidiarrheals. To develop appropriate waste reduction strategies it is first necessary to identify the reasons that these medications are not used in the Taoyuan country setting. |
