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Study the effectiveness of community pharmacy training for COPD and asthma
Community Pharmacy Bureau
|上傳時間: ||2020-12-09 14:48:00 (UTC+8)|
|摘要: ||社區健保藥局成為提供民眾領取藥物的最佳去處，且漸漸成為民眾熟悉的第一線醫療保健單位。社區健保藥局藥師不僅調劑處方箋藥物，提供專業的藥事服務更是其職責。氣喘（asthma）與慢性肺阻塞性肺病（Chronic Obstructive Pulmonary Disease，簡稱COPD）這二種呼吸道疾病是目前社區健保藥局最常見問題之慢性疾病，病情控制得宜除了需要病人的用藥順從性高之外，吸入劑使用得當亦是關鍵所在。為能了解社區健保藥局醫事人員在這方面之專業服務，本研究藉由蒐集藥局門市病患提出之問題，討論分析後依員工專業（藥師或藥師助理）不同設計不同之測驗問卷並進行且分別進行測驗，藥師的測驗重點放在疾病與藥品知識以及吸入劑的使用方法（20題），藥師助理的20題則為疾病相關常識。此研究目的欲了解參與研究的社區藥局藥師及藥師助理對於asthma與COPD這二種疾病及用藥的基本概念，測驗結果經分析後再依其最不足之處邀請專家給予適當之教育訓練，之後再給予後測並分析教育訓練成果。
Community pharmacy bureaus are the best choice for general population to receive their prescription medicines and obtain the related drug information. The community pharmacy bureau gradually becomes a frontline health care unit. The pharmacist in the community pharmacy bureaus are the professional persons to fulfill these duties. Asthma and chronic obstructive pulmonary diseases (COPD), two of most common chronic respiratory diseases seen in the community pharmacy bureaus. Proper use of inhaler medicines are the key control of the disease. In order to improve these professional services, both pharmacists and pharmacy assistants were required to perform pre-tests and post-test. In this study, most asked questions by asthma and COPD patients were collected, sorted, discussed and formed to be the testing materials. There were 20 questions based on the knowledge of disease, medicines and the use of inhalants for pharmacists. There were also 20 questions based on common sense of the diseases for Pharmacy assistants. Pre-test were carried out without any notice. By doing so, a basal level knowledge of Asthma and COPD could be obtained. After analyzing the results of the pre-test, the experts of Asthma and COPD were invited to give appropriate education and training according to the most inadequate staff. A post-test was then carried out and the results were analyzed and compared to that of the pre-test.
It was surprised to find out that inhaler uses were not familiar by pharmacists, especially for those newer inhalers. This was particularly poor in the older than the younger pharmacists. However, after training program, the older pharmacists improved (their scores from average 48.1 increased to 76.9) and the younger pharmacists also improved further (the scores from average 70.5 increased to 89.1). Although there was still some gap between these two groups, continuous education and training were considered as necessary fair. For pharmacy assistants, they had better overall scores in the pre-test (88.9 and 91.3 between two groups), therefore, education program was only focus on their poorest concept regarding the diseases. It can effectively improve the cognition of training personnel. Pharmacy assistants sometimes have more opportunities to interact with customs than pharmacists, thus training of pharmacy assistants are also important to up-today their knowledge about diseases and medicine can somehow improve professional image of community pharmacy bureaus.
|Appears in Collections:||[藥學系(所)] 博碩士論文|
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