关键词: cancer education program multi-prefecture palliative care pharmacists’ behavioral change transtheoretical model

来  源:   DOI:10.3390/pharmacy12030087   PDF(Pubmed)

Abstract:
Central to the pharmacist\'s role in palliative care is symptom management through direct participation in patient care and the provision of optimal pharmacotherapy to support patient outcomes. Consequently, palliative care requires extensive knowledge and action for patients with cancer. Therefore, this study aimed to evaluate how pharmacists\' behavior changed after attending a palliative care educational program. We conducted a web-based questionnaire survey examining the behavior of pharmacists regarding palliative care before participating in the program, two months after participating in the program, and eight months after participating in the program to determine their behavior and changes over time. For all questions, scores were higher at two and eight months after attending the program than before attending the program (p < 0.05). In addition, no significant difference was observed between two and eight months after attending the program for any question (p = 0.504-1.000). The knowledge gained from the educational program was used to repeatedly intervene with patients with cancer in order to address the various symptoms they experienced and maintain their behavior. The proven effectiveness of this program serves as a stepping stone for nationwide rollout across Japan\'s 47 prefectures.
摘要:
药剂师在姑息治疗中的核心作用是通过直接参与患者护理和提供最佳药物治疗来支持患者预后的症状管理。因此,姑息治疗需要癌症患者广泛的知识和行动。因此,本研究旨在评估药剂师参加姑息治疗教育项目后行为的变化。我们进行了一项基于网络的问卷调查,检查药剂师在参与该计划之前对姑息治疗的行为,参加这个项目两个月后,和八个月后参加该计划,以确定他们的行为和随时间的变化。对于所有的问题,参加该计划后2个月和8个月的分数高于参加该计划前(p<0.05)。此外,参加该计划后2个月和8个月之间的任何问题均未观察到显着差异(p=0.504-1.000)。从教育计划中获得的知识被用于反复干预癌症患者,以解决他们经历的各种症状并保持他们的行为。该计划的有效性已被证明是日本47个县在全国范围内推广的垫脚石。
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