药剂师主导的姑息治疗教育项目的影响,重点是在越南适当使用阿片类药物

Q4 Pharmacology, Toxicology and Pharmaceutics Pharmaceutical Sciences Asia Pub Date : 2022-01-01 DOI:10.29090/psa.2022.04.21.122
T. Nguyen, C. Do, Annie L Vong, C. Farrell, T. Dang, T. Than, Duong Le, Khoa Duong
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引用次数: 0

摘要

提供姑息治疗服务涉及确保适当的疼痛控制,这可能需要使用阿片类药物。越南长期以来阿片类药物供应有限,导致医疗保健提供者在开处方时缺乏经验和不适。这导致患者因疼痛治疗不足而遭受不必要的痛苦。本横断面研究考察了越南一所大学医院的第一个药剂师主导的在线教育计划对学习者在姑息治疗环境中管理阿片类药物镇痛的知识和感知信心的影响。参与者在完成项目的一周内填写了一份利用李克特五点量表的自愿调查。我们采用描述性统计和多元线性回归模型对数据进行分析。在480名参与者中,28.3%的人完成了课程后调查。在1到5的量表中,参与者在所有终点报告阳性得分,平均得分范围为3.570.99至3.960.83。在疗程结束后使用阿片类药物可显著改善信心(p <0.001)。信心的增加与姑息治疗知识的提高呈正相关(p =0.035),权衡使用阿片类药物的益处与风险(p =0.044),以及认识到阿片类药物可及性的障碍(p =0.032)。学生对教育质量的满意度较高,平均得分为4.44±0.66。总之,在线姑息治疗教育项目侧重于在姑息治疗环境中安全有效地使用阿片类药物,在提高越南医疗保健提供者的知识和信心方面显着有效。
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Impact of a pharmacist-led palliative care education program focused on the appropriate use of opioids in Vietnam
Providing palliative care service involves ensuring adequate pain control, which may necessitate the use of opioids. Vietnam has a long history of limited availability of opioids, resulting in healthcare providers’ inexperience and discomfort with prescribing them. This leads to unnecessary patients suffering due to undertreatment of pain. This cross-sectional study examined the impact of the first pharmacist-led online education program in a university hospital in Vietnam on learners’ knowledge and perceived confidence in managing opioids for analgesia in the palliative care setting. Participants filled out a voluntary survey utilizing a five-point Likert scale, within one week of completing the program. We used descriptive statistics and multiple linear regression models to analyze the data. Of the 480 participants enrolled, 28.3% completed the post-course survey. On a scale of 1 to 5, participants reported positive scores in all endpoints, with a mean score ranging from 3.57  0.99 to 3.96  0.83. Significant improvement was seen in confidence with using opioids after the course ( p <0.001). Increased confidence was positively correlated with improvement in knowledge of palliative care ( p =0.035), weighing the benefits versus risks of using opioids ( p =0.044), and recognizing of barriers to opioid accessibility ( p =0.032). The program resulted in high satisfaction in the quality of the education, with a mean score of 4.44±0.66. In conclusion, an online palliative care education program focused on the safe and effective use of opioids in the palliative care setting was significantly effective at improving knowledge and confidence among Vietnamese healthcare providers.
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来源期刊
Pharmaceutical Sciences Asia
Pharmaceutical Sciences Asia Pharmacology, Toxicology and Pharmaceutics-Pharmacology, Toxicology and Pharmaceutics (all)
CiteScore
0.90
自引率
0.00%
发文量
59
期刊介绍: The Pharmaceutical Sciences Asia (PSA) journal is a double-blinded peer-reviewed journal in English published quarterly, by the Faculty of Pharmacy, Mahidol University, Thailand. The PSA journal is formerly known as Mahidol University Journal of Pharmaceutical Sciences and committed to the timely publication of innovative articles and reviews. This journal is available in both printed and electronic formats. The PSA journal aims at establishing a publishing house that is open to all. It aims to disseminate knowledge; provide a learned reference in the field; and establish channels of communication between academic and research expert, policy makers and executives in industry and investment institutions. The journal publishes research articles, review articles, and scientific commentaries on all aspects of the pharmaceutical sciences and multidisciplinary field in health professions and medicine. More specifically, the journal publishes research on all areas of pharmaceutical sciences and related disciplines: Clinical Pharmacy Drug Synthesis and Discovery Targeted-Drug Delivery Pharmaceutics Biopharmaceutical Sciences Phytopharmaceutical Sciences Pharmacology and Toxicology Pharmaceutical Chemistry Nutraceuticals and Functional Foods Natural Products Social, Economic, and Administrative Pharmacy Clinical Drug Evaluation and Drug Policy Making Antimicrobials, Resistance and Infection Control Pharmacokinetics and Pharmacodynamics.
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