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Effective communication between pharmacists and patients is essential for therapeutic success. The pharmacist's perspective may differ from that of the patient in terms of effective communication. Our study aimed to assess the communication efficiency in the pharmacist-patient relationship from the pharmacists’ perspective. We hypothesize that the community pharmacist's perspective can lead to relevant aspects of patient-centred communication and their profession. A cross-sectional study was conducted through an online questionnaire addressed to pharmacists. A number of 506 questionnaires were collected, evaluated, analyzed and interpreted. The questionnaire focused on the following main issues: degree of job satisfaction, essential skills of a pharmacist working in a community pharmacy, different aspects of pharmacist-patient communication, shared decision-making, patient monitoring plan and other elements related to a patient under treatment (healthy lifestyle, receptivity to counselling, loyalty and appreciation of pharmaceutical services). The pharmacist's efficiency in communication with the patient and professional education were also targeted in the study. There are no significant differences between job satisfaction in women compared to men. However, the job satisfaction increases with the average age. Caregiver, communicator and life-long learner were identified as essential skills of a pharmacist. Pharmacists participating in the study generally perceive themselves as good communicators with the patient. Nevertheless, many particular aspects of communication with patients can be greatly improved. The lack of training in the spirit of the ?patient-centred communication” concept has been identified. Still, more than a third of the respondents are missing the need for professional training. A periodic evaluation of the efficiency of pharmacist-patient communication in the community pharmacy is necessary. The degree of subjectivity of the pharmacist from this perspective and self-sufficiency would be significantly diminished if the pharmacists had access to the results of the periodic evaluations.  相似文献   
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目的探讨门诊冷圈套切除术(CSP)治疗老年结直肠小息肉的安全性和有效性,为治疗该病症提供方法。方法回顾性分析2018年1月—2018年10月于复旦大学附属华东医院消化内镜行大肠小息肉切除的325例老年患者的临床资料,依据不同治疗方法分为CSP(冷圈套切除术)组(n=186)、HSP(热圈套切除术)组(n=94)和EMR(内镜下黏膜切除术)组(n=45);CSP组分为门诊亚组(n=68)和住院亚组(n=118)。评估并比较各组的手术操作时间、术中出血、术后出血、穿孔和完整切除率等情况。结果 CSP组有较低术中出血率和较短的手术操作时间(P<0.05);3组术后出血穿孔率和病理分型的差异无统计学意义(P> 0.05);CSP门诊亚组和住院亚组相比的术中出血率、术后出血率及穿孔率均无统计学差异(P> 0.05)。结论门诊CSP切除老年患者结直肠小息肉,具有较高的安全性和有效性、较高的完整切除率、较低的术中出血率、几乎为0的术后出血和穿孔率,手术时间更短,手术费用较低,具有一定的临床应用价值。  相似文献   
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目的:基于丙戊酸钠的体内代谢过程具有显著的年龄发育特征,本研究旨在考察不同年龄段儿童癫痫患者使用丙戊酸钠后的稳态血药浓度特征及其与癫痫控制情况、药品不良反应(ADR)之间的关联,以此获得丙戊酸钠在儿科使用的安全性和有效性数据。方法:纳入2017年1月至2020年6月该院神经科确诊为癫痫并使用丙戊酸钠的患儿748例,采集其口服给药3 d后的清晨空腹静脉血,检测血浆中丙戊酸钠浓度并记录其癫痫发作频率,神经系统、胃肠道和皮肤方面的ADR发生情况。结果:丙戊酸钠的稳态血药浓度随年龄呈现显著的阶梯式升高特征,<1岁癫痫患儿的丙戊酸钠平均血药浓度为(50.06±28.18)mg/L;1~2岁患儿为(51.08±18.71)mg/L;>2~6岁患儿为(59.87±22.07)mg/L,显著高于1~2岁患儿,差异有统计学意义(P<0.05);>6~14岁患儿为(63.23±26.67)mg/L,高于>2~6岁患儿,但差异无统计学意义(P>0.05),明显高于1~2岁患儿(P<0.001)和<1岁患儿(P<0.01),差异均有统计学意义。丙戊酸钠低剂量组患儿[<20 mg/(kg·d)]的稳态血药浓度低于中剂量组[20~30 mg/(kg·d)]、高剂量组[>30 mg/(kg·d)],但是中、高剂量组患儿中丙戊酸钠血药浓度并不呈现剂量相关性。丙戊酸钠中、高血药浓度组患儿的癫痫控制率分别为90.0%(387/430)和91.1%(41/45),显著高于低血药浓度组的70.0%(191/273),差异均有统计学意义(P<0.05)。共收集39例ADR,发生率较高的ADR为神经系统反应(14例)、肝功能受损(11例)和消化系统反应(9例)。ADR发生率随丙戊酸钠血药浓度升高而有升高趋势,且呈年龄相关性,≤2岁的低年龄段癫痫患儿使用丙戊酸钠的ADR发生率显著高于其他年龄段(>2~14岁)癫痫患儿。结论:(1)儿童的丙戊酸钠血药浓度和ADR有年龄段特异性分布特征,婴幼儿(≤2岁)的丙戊酸钠血药浓度易低于最低治疗浓度,但更易发生ADR,在临床用药过程中应注意密切监测;(2)儿童群体血药浓度控制在50~100 mg/L范围内时,丙戊酸钠的安全性和有效性均较为理想;(3)相对于成人,儿童的肝损伤发生率较高,使用丙戊酸钠过程中应加强肝功能指标的监测。  相似文献   
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《Saudi Pharmaceutical Journal》2022,30(10):1497-1506
BackgroundAcute childhood diarrhea is one of the most common causes of dehydration, and if severe, can potentially lead to death as well. The present study was aimed at evaluating the knowledge and attitudes of community pharmacy professionals towards the management of acute childhood diarrhea and comparing them with their actual practices in Jazan Province, Kingdom of Saudi Arabia (K.S.A).MethodsSimulated patient visits and a cross-sectional survey making use of a 27-item self-report questionnaire were conducted amongst a sample of 303 community pharmacy professionals (51.2 % male and 48.8 % female) with an age range of 25–56 years, between August 1 and December 1, 2021, in Jazan Province, Saudi Arabia. Convenience sampling technique was used for the recruitment of the participants.ResultsSignificant positive correlations were seen between knowledge score (self-report survey) and practice score (simulated patient visit) regarding patients’ history taking (r = 0.65; p < 0.01), drug recommendations (r = 0.71; p < 0.01) and providing information regarding food and fluid intake (r = 0.44; p < 0.01). The alpha coefficients for all the items of the survey instrument were noted to be greater than (or) equal to the 0.70 threshold for almost all sections, hence indicating good reliability and internal consistency of the developed scale.ConclusionIn the present study, even though we observed improved participants’ performance during the self report survey, their performance level greatly dropped in actual practice. This warrants for a need for educational programs to improve their actual dispensing practices. The present study has also shown simulated patient visits to be a reliable, simple and a robust method of assessing the actual dispensing practices of community pharmacy professionals.  相似文献   
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目的构建门诊老年患者护理服务质量评价量表,并检验其信效度。方法以Servperf模型为理论基础,查阅国内外文献、小组讨论和专家咨询后初拟门诊老年患者护理服务质量评价量表,选取苏州大学附属第三医院480例门诊老年患者进行预测试调查,之后对量表进行条目筛选及信效度分析。结果门诊老年患者护理服务质量评价量表包括4个维度(有形性、响应性、保证性和移情性),20个条目;该量表的Cronbach′sα系数为0.949,折半信度为0.873;条目水平的内容效度为0.82~1.00,量表水平的内容效度为0.92;探索性因子分析提取4个公因子,方差累积贡献率为77.603%,验证性因子分析证明量表结构拟合度较好。结论本研究编制的门诊老年患者护理服务质量评价量表可靠性高且具有良好的信效度,可作为门诊老年患者护理服务质量的评价工具。  相似文献   
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  • Children with cancer receive many medications outside the hospital administered by their caregivers.
  • The study by Walsh et al. shows the number and types of medication errors in these patients. The study includes data from three different centers.
  • Importantly, the study shows the types of errors that cause harm. The authors describe how the harmful errors can be prevented.
  • We suggest ways these results can be used to identify which patients and families will benefit from additional attention. Providing more help at clinic and in the home may help prevent harmful medication errors in children with cancer.
  相似文献   
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