关键词: Automédication Ibuprofen Ibuprofène Intervention pharmaceutique Pharmaceutical intervention Pseudoephedrine Pseudoéphédrine Quantitative study Self-medication Étude quantitative

Mesh : Adolescent Adult Aged Anti-Inflammatory Agents, Non-Steroidal / therapeutic use Bronchodilator Agents / therapeutic use Community Pharmacy Services Female France Humans Ibuprofen / therapeutic use Male Middle Aged Patient Acceptance of Health Care Pharmacies / statistics & numerical data Pharmacists Pseudoephedrine / therapeutic use Referral and Consultation Self Medication / statistics & numerical data Surveys and Questionnaires Young Adult

来  源:   DOI:10.1016/j.pharma.2018.12.002   PDF(Sci-hub)

Abstract:
OBJECTIVE: This study aims to: (i) quantify the number of pharmaceutical interventions (PIs) linked to spontaneous requests for the two oral target molecules, ibuprofen and pseudoephedrine (ii) analyse the causes and proposed solutions (iii) quantify the number of registrations in the patient\'s pharmaceutical record and identify the various causes of non-registration.
METHODS: The study was conducted over a 2 weeks\' period in the months of February and April 2014 in 482 pharmacies affiliated to the training supervisor associations of 8 French Faculties of Pharmacy. Data regarding spontaneous requests for the target molecules was collected, with due respect to a patient care flow chart at the pharmacy, by incorporating the systematic proposal for registration of the medication in the patient\'s pharmaceutical record. Each PI was the subject of a notification made with reference to a standardized grid.
RESULTS: A total of 12,160 dispensations were made over the two weeks of the study. Overall 815 of them gave rise to an PI (6.7%), justified in almost half of the cases by a contraindication. The alternative proposed by the dispensing pharmacist was accepted in more than 9 out of 10 cases. In half of the cases, the dispensing pharmacist had access to the patient\'s French healthcare card; more than 2/3 of the dispensations thus led to the registration of the medication in the patient\'s pharmaceutical record.
CONCLUSIONS: The pairing of the two tools, these being the notification grid and the pharmaceutical record, aims to maximize dispensation security while patients are being guided in their approach to self-medication.
摘要:
目的:本研究旨在:(i)量化与对两种口服靶分子的自发请求相关的药物干预措施(PI)的数量,布洛芬和伪麻黄碱(ii)分析原因和建议的解决方案(iii)量化患者药物记录中的注册数量,并确定未注册的各种原因。
方法:该研究于2014年2月和4月在法国8个药学院的培训主管协会下属的482家药店进行了为期2周的研究。收集有关自发请求目标分子的数据,在适当尊重药房患者护理流程图的情况下,通过将系统的药物登记建议纳入患者的药物记录。每个PI都是参照标准化网格发出的通知的主题。
结果:在研究的两周内,共进行了12,160次分配。其中815个产生了PI(6.7%),在几乎一半的案例中,有禁忌症是合理的。配药药剂师提出的替代方案在10例中的9例中被接受。在一半的案例中,配药药剂师可以使用患者的法国医疗保健卡;因此,超过2/3的配药导致将药物登记在患者的药物记录中。
结论:两种工具的配对,这些是通知网格和药物记录,旨在最大限度地提高分配安全性,同时指导患者进行自我药疗。
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