补充医学社区药剂师实践的系统综述。

IF 2.4 Q3 PHARMACOLOGY & PHARMACY Pharmacy Practice-Granada Pub Date : 2022-07-01 Epub Date: 2022-08-05 DOI:10.18549/PharmPract.2022.3.2697
Su Myat Thin, Daylia Thet, Jia Yu Li, Tulakarn Nakpun, Sujin Nitadpakorn, Chamipa Phanudulkitti, Bernard A Sorofman, Suntaree Watcharadamrongkun, Tanattha Kittisopee
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引用次数: 1

摘要

背景:使用补充药物的人认为这些药物是安全无害的。他们可以很容易地在社区药房获得草药或传统药物等中药。因此,社区药剂师是为客户提供安全选择中药建议和循证信息以减少中药不良反应的重要专业人员。目的:系统回顾社区药剂师对中药的知识、态度和实践,以及与配药、推荐和咨询患者的中药实践相关的因素,以及回答患者的询问。方法:从1990年到2022年5月19日,使用PubMed、Scopus、SpringerLink和ScienceDirect四个数据库进行电子搜索。纳入标准为研究1)关于社区药剂师对CM的知识、态度和/或实践,2)用英语书写,3)用定量方法进行,4)能够检索全文。结果:本系统综述包括23项研究。一些研究表明,只有不到一半的药剂师向患者询问或咨询中药,并回答患者对中药的询问。只有20%的药剂师报告了CM副作用。CM的培训或教育是与CM实践相关的一个常见因素,即配药、推荐、咨询和回答患者对CM的询问。社区药剂师推荐最多的CM是维生素和矿物质、食品或膳食补充剂、鱼油和益生菌。最常见的CM是维生素和矿物质、草药、食品或膳食补充剂、鱼油和精油。缺乏可靠的信息来源和科学证据是CM实践的常见障碍。由于比传统药物便宜,促使药剂师推荐和讨论中药。参与纳入研究的社区药剂师建议加强CM培训,并强调药剂师在CM治疗中的作用。结论:高比例的社区药剂师确实为患者配制了CM,而低比例的药剂师确实报告了CM的副作用。药剂师最乐意推荐和回答患者的CM问题。建议对与CM配药、推荐、讨论和回答患者对CM的询问相关的CM进行培训或教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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A systematic review of community pharmacist practices in complementary medicine.

Background: The people who use complementary medicines (CMs) believe that these medicines are safe and harmless. They could easily access CMs like herbal or traditional medicines in community pharmacies. Therefore, community pharmacists are important professionals in advising the safe choices of CMs and providing evidence-based information for customers to decrease adverse effects of CMs.

Objectives: To systematically review knowledge, attitude, and practices of community pharmacists about CMs, and the factors associated with CM practices of dispensing, recommending and counseling patients, and answering the patients' queries.

Method: An electronic search was performed with four databases: PubMed, Scopus, SpringerLink and ScienceDirect, from 1990 to 19th May 2022. The inclusion criteria were studies 1) about knowledge, attitude, and/or practices of community pharmacists about CMs, 2) written in English, 3) conducted with quantitative methods, and 4) able to retrieve full text.

Results: Twenty-three studies were included in this systematic review. Some studies showed that less than half of the pharmacists asked or counselled about CMs to their patients and answered the patients' queries about CMs. Only 20% of the pharmacists did report CM side-effects. Training or education about CMs was a common factor associated with the CM practice of dispensing, recommending, counseling, and answering the patients' queries about CMs. CMs recommended most by community pharmacists were vitamins & minerals, food or dietary supplements, fish oil and probiotics. The most common dispensed CMs were vitamins & minerals, herbs, food or dietary supplements, fish oil and essential oils. Lacks of reliable information sources and scientific evidence were common barriers for the CM practices. Being less expensive than conventional medicines motivated the pharmacists to recommend and discuss about CMs. The community pharmacists that participated in included studies suggested strengthening CM trainings and highlight the pharmacist role in CM therapy.

Conclusion: A high percentage of community pharmacists did dispense CMs to their patients, while a low percentage of the pharmacists did report CM side effects. Pharmacists were most comfortable recommending and responding the patients' CM queries. Training or education about CMs associated with CM dispensing, recommending, discussing, and answering the patients' queries about CMs was recommended.

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来源期刊
Pharmacy Practice-Granada
Pharmacy Practice-Granada PHARMACOLOGY & PHARMACY-
CiteScore
3.90
自引率
4.00%
发文量
113
审稿时长
20 weeks
期刊介绍: Pharmacy Practice is a free full-text peer-reviewed journal with a scope on pharmacy practice. Pharmacy Practice is published quarterly. Pharmacy Practice does not charge and will never charge any publication fee or article processing charge (APC) to the authors. The current and future absence of any article processing charges (APCs) is signed in the MoU with the Center for Pharmacy Practice Innovation (CPPI) at Virginia Commonwealth University (VCU) School of Pharmacy. Pharmacy Practice is the consequence of the efforts of a number of colleagues from different Universities who belief in collaborative publishing: no one pays, no one receives. Although focusing on the practice of pharmacy, Pharmacy Practice covers a wide range of pharmacy activities, among them and not being comprehensive, clinical pharmacy, pharmaceutical care, social pharmacy, pharmacy education, process and outcome research, health promotion and education, health informatics, pharmacoepidemiology, etc.
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