PDF(Pubmed)
Abstract：
BACKGROUND: Many organizations have suggested a minimum standard regarding pharmaceutical counselling for patients, which includes information about the name of the drug, the description the drug, the indication for use, how to use it, the method of treatment, precautions, adverse reactions, and any contraindications. Correspondingly, the World Health Organization (WHO) has recommended that pharmacists spend at least 3 min with each patient to provide counselling. This study aimed to evaluate the counselling practices of community pharmacists for both over-the-counter (OTC) and prescription-only medicines in the Bisha Health Directorate, Saudi Arabia.
METHODS: This was a cross-sectional study designed to evaluate simulated patient visits to observe real counselling practices of community pharmacies in the Bisha area; 73 pharmacies were visited. Two scenarios were used in this study. The first scenario was for a prescription-only medicine, and the second scenario was for an OTC medicine. The duration of counselling was recorded for every visit.
RESULTS: A total of 105 visits to the 73 pharmacies were conducted under the following scenarios: scenario 1 = 73 visits and scenario 2 = 32 visits. The average time for the simulation was 110 s for scenario 1 and 73.4 s for scenario 2. There was a statistically significant negative correlation between the duration of counselling and patient simulation visits that occurred in the morning (Spearman\'s rho = - 0.396, p = 0.001).
CONCLUSIONS: It was shown that patient counselling needs to be given greater emphasis in community pharmacies. In this study, the time spent for patient counselling failed to meet the minimum WHO standard. Thus, pharmacists must be encouraged to spend at least 3 min on patient counselling.
METHODS: This was a cross-sectional study designed to evaluate simulated patient visits to observe real counselling practices of community pharmacies in the Bisha area; 73 pharmacies were visited. Two scenarios were used in this study. The first scenario was for a prescription-only medicine, and the second scenario was for an OTC medicine. The duration of counselling was recorded for every visit.
RESULTS: A total of 105 visits to the 73 pharmacies were conducted under the following scenarios: scenario 1 = 73 visits and scenario 2 = 32 visits. The average time for the simulation was 110 s for scenario 1 and 73.4 s for scenario 2. There was a statistically significant negative correlation between the duration of counselling and patient simulation visits that occurred in the morning (Spearman\'s rho = - 0.396, p = 0.001).
CONCLUSIONS: It was shown that patient counselling needs to be given greater emphasis in community pharmacies. In this study, the time spent for patient counselling failed to meet the minimum WHO standard. Thus, pharmacists must be encouraged to spend at least 3 min on patient counselling.
摘要：
背景：许多组织提出了关于患者药物咨询的最低标准，其中包括有关药物名称的信息，药物的描述，使用指示，如何使用它，治疗方法,预防措施,不良反应,和任何禁忌症。相应地,世界卫生组织(WHO)建议药剂师为每位患者提供至少3分钟的咨询.这项研究旨在评估社区药剂师在Bisha卫生局的非处方药（OTC）和仅处方药的咨询实践，沙特阿拉伯。
方法：这是一项横断面研究，旨在评估模拟患者的就诊情况，以观察Bisha地区社区药房的真实咨询实践；访问了73家药房。在这项研究中使用了两种情况。第一种情况是处方药，第二种情况是非处方药。每次访问都记录咨询的持续时间。
结果：在以下情况下，共对73家药房进行了105次访问：情况1=73次访问，情况2=32次访问。模拟的平均时间对于场景1为110秒，对于场景2为73.4秒。咨询的持续时间与上午发生的患者模拟就诊之间存在统计学上显著的负相关(Spearman的rho=-0.396,p=0.001)。
结论：研究表明，社区药房需要更加重视患者咨询。在这项研究中,患者咨询所花费的时间未能达到世卫组织的最低标准.因此，必须鼓励药剂师在患者咨询上花费至少3分钟。
方法：这是一项横断面研究，旨在评估模拟患者的就诊情况，以观察Bisha地区社区药房的真实咨询实践；访问了73家药房。在这项研究中使用了两种情况。第一种情况是处方药，第二种情况是非处方药。每次访问都记录咨询的持续时间。
结果：在以下情况下，共对73家药房进行了105次访问：情况1=73次访问，情况2=32次访问。模拟的平均时间对于场景1为110秒，对于场景2为73.4秒。咨询的持续时间与上午发生的患者模拟就诊之间存在统计学上显著的负相关(Spearman的rho=-0.396,p=0.001)。
结论：研究表明，社区药房需要更加重视患者咨询。在这项研究中,患者咨询所花费的时间未能达到世卫组织的最低标准.因此，必须鼓励药剂师在患者咨询上花费至少3分钟。
