法国肾移植中心患者治疗教育实践研究。

IF 1.6 4区 医学 Q3 PHARMACOLOGY & PHARMACY European journal of hospital pharmacy : science and practice Pub Date : 2024-12-30 DOI:10.1136/ejhpharm-2023-004006
Camille Boissiere, Tristan Rallon, Cécile Vigneau, Elouan Demay, Claire Chatron, Astrid Bacle
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引用次数: 0

摘要

目的:患者治疗教育(TPE)在肾移植受者的管理中起着至关重要的作用。然而,法国不同肾移植中心在免疫抑制剂使用指导方面存在差异:为了评估这一患者群体目前使用 TPE 的情况,我们向 32 家法国肾移植中心发放了一份包含 51 个问题的在线问卷:我们的调查参与率为 96.9%(所联系的 32 家中心中有 31 家)。受访者的职业各不相同:护士(15/31)、医生(9/31)和药剂师(7/31)。几乎所有机构都实施了 TPE 计划,实施率为 93.5%(29/31)。抗排斥药物治疗一直是讨论的主题,只有一家中心在这些会议结束时没有提供支持。然而,各中心的培训内容差异很大,尤其是在抗排斥药物的正确管理方面。只有19.4%(6/31)的中心提供了服用他克莫司时禁食的正确建议。89.7%(26/29)的中心提供了饮食指导,但也发现了明显的差异。TPE 团队主要由护士组成,只有 51.6%(16/31)的中心有药剂师参与。我们还观察到患者伙伴的参与有限,仅有 9.7%(3/31)的中心将患者伙伴纳入其计划中:这些发现凸显了肾移植中心在 TPE 方法上的巨大差异。要提高 TPE 的质量和有效性,必须解决咨询方法的差异并增加药剂师和患者伙伴的参与。通过建立标准化和全面的患者教育方法,医疗服务提供者可以确保肾移植受者获得信息,最终帮助他们改善健康和福祉。
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Study of therapeutic patient education practices in French renal transplantation centres.

Objectives: Therapeutic patient education (TPE) plays a critical role in the management of kidney transplant recipients. However, discrepancies exist in the guidance provided regarding the usage of immunosuppressants across different kidney transplant centres in France.

Methods: To assess the current landscape of TPE practices in this patient population, an online questionnaire consisting of 51 questions was distributed to 32 French renal transplantation centres.

Results: The participation rate in our survey was 96.9%, (31 of the 32 centres contacted). The respondents had diverse professions: they were nurses (15/31), physicians (9/31) and pharmacists (7/31). Virtually all institutions have implemented TPE initiatives, with an implementation rate of 93.5% (29/31). The topic of anti-rejection medication was consistently addressed, with only one centre not providing support at the conclusion of these sessions. However, the content of the sessions varied significantly from one centre to another, particularly regarding the proper management of anti-rejection medications. Only 19.4% (6/31) of the centres provided the correct recommendation regarding fasting when taking tacrolimus. Dietary guidance was a topic covered in 89.7% (26/29) of the centres, but significant divergences were also observed. TPE teams primarily consisted of nurses, with pharmacists present in only 51.6% (16/31) of the centres. We also observed limited involvement of patient partners, with just 9.7% (3/31) of the centres including them in their programme.

Conclusion: These findings highlight considerable variability in the approach towards TPE among kidney transplant centres. Addressing counselling variability and increasing pharmacist and patient partner involvement is an essential step to improving the quality and effectiveness of TPE. By establishing a standardised and comprehensive approach to patient education, healthcare providers can ensure that kidney transplant recipients receive information that will ultimately help them improve their health and well-being.

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来源期刊
CiteScore
3.40
自引率
5.90%
发文量
104
审稿时长
6-12 weeks
期刊介绍: European Journal of Hospital Pharmacy (EJHP) offers a high quality, peer-reviewed platform for the publication of practical and innovative research which aims to strengthen the profile and professional status of hospital pharmacists. EJHP is committed to being the leading journal on all aspects of hospital pharmacy, thereby advancing the science, practice and profession of hospital pharmacy. The journal aims to become a major source for education and inspiration to improve practice and the standard of patient care in hospitals and related institutions worldwide. EJHP is the only official journal of the European Association of Hospital Pharmacists.
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