评估马来西亚吉打州社区药剂师对可能不适当药物的知识、态度和看法

G. Balasubramanian
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摘要

在老年人中潜在的不适当药物(PIMs)对临床结果和医疗保健成本都是有害的。社区药师的pim知识在减少不当处方方面起着至关重要的作用。比尔斯标准是常用的指导方针,列出了具体的pim,社区药剂师将受益于比尔斯标准的知识,在检测初级保健的pim。因此,本研究调查了马来西亚吉打州社区药师对pim的知识、态度和认知。这是一项前瞻性横断面研究。了解项目管理体系;对项目管理计划的看法;对比尔斯标准的认识;采用5点李克特量表评估社区药师对加强pim知识的教育需求感知。采用描述性统计和卡方检验对数据进行分析。本研究共有107名社区药师参与。受访者表现出对项目管理体系有更高层次的了解。所有的应答者都同意老年人用药不当会导致医疗保健利用增加、健康并发症和住院。受访者表现出对比尔斯标准的认识不足。大多数受访者不确定奥美拉唑是医疗保健系统中最常见的比尔斯药物。大多数受访者同意将老年药物治疗教育作为核心科目或选修科目,并将老年药物治疗研究生教育纳入社区药师对老年患者药物管理方案的认识。吉打州的社区药剂师对pim的知识水平较高,但对Beers标准的认识较差。因此,有必要提高社区药剂师对比尔斯标准的认识和使用。
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Assessing the knowledge, attitude and perception about potentially inappropriate medications among community pharmacists in Kedah, Malaysia
Potentially inappropriate medications (PIMs) among geriatric are detrimental to both clinical outcomes and health care costs. Knowledge of PIMs among community pharmacists plays vital role in minimizing the inappropriate prescribing. Beers Criteria is commonly used guidelines that lists specific PIMs, where community pharmacists would benefit from knowledge of Beers Criteria in detecting PIMs in primary care. This study therefore investigates the knowledge, attitude and perception of PIMs among community pharmacists in Kedah, Malaysia. This is a prospective, cross-sectional study. The knowledge of PIMs; perception regarding PIMs; awareness of Beers Criteria; and perception of educational needs to enhance community pharmacists’ knowledge about PIMs was assessed by using 5‐point Likert scale. Descriptive statistics and Chi-square tests were used to analyse the data. In this study a total of 107 community pharmacists participated. The respondents demonstrated a higher-level knowledge of PIMs. All of the respondents agreed inappropriate medications among geriatric will cause increased in healthcare utilization, health complications and hospitalization. The respondents demonstrated poor awareness of Beers Criteria. Majority respondents were uncertain that Omeprazole is the most common Beers medication prescribed in healthcare system. Majority of respondents agreed incorporation of geriatric pharmacotherapy education as a core subject or elective subject and postgraduate education in geriatric pharmacotherapy can help to enhance community pharmacists’ knowledge about PIMs among elderly patients. The community pharmacists in Kedah demonstrated high knowledge level of PIMs but poor awareness of the Beers Criteria. Thus, there is a need to increase the awareness and use of Beers Criteria among community pharmacists.
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