社会药房药师慢病药物治疗管理培训的探索与实践  

Exploration and practice of pharmacist training in chronic disease medication therapy management in retail pharmacies

作　　者：胡源晖 裴毓瑶 常枫 于锋 康震 郑玉粉 HU Yuanhui;PEI Yuyao;CHANG Feng;YU Feng;KANG Zhen;ZHENG Yufen(School of Basic Medicine and Clinical Pharmacy,China Pharmaceutical University,Nanjing 210009,China;School of Pharmacy,University of Waterloo,Waterloo N2L 3G1,Ontario Province,Canada)

机构地区：[1]中国药科大学基础医学与临床药学学院,南京210009 [2]加拿大滑铁卢大学药学院,加拿大安大略省滑铁卢市N2L 3G1

出　　处：《药学前沿》2024年第9期90-97,共8页China Pharmacist

基　　金：江苏省高等教育教改研究一般课题项目(2023JSJG485);中国药科大学校级教改课题项目(2023XJZD10)。

摘　　要：目的探索社会药房药师开展慢病药物治疗管理服务的培训方案。方法结合我国国情,采用专家咨询法从课程设置、教学模式、教学评估3个方面建立社会药房药师慢病药物治疗管理培训方案,并实施培训,采用定性访谈研究,深入了解药师对培训方案的评价及建议。结果培训课程涉及药学监护实践技能和疾病药物治疗学,教学模式包括在线学习与答疑、案例撰写、角色扮演与标准化患者案例演练,通过知识测验、客观结构化临床考试、实践检验及问卷调查进行教学评估。181名药师参加并完成培训,其对培训方案的总体满意度为4.7(满分5.0)。通过培训,药师药物治疗管理知识与技能水平以及执业的态度、信心和认知得到显著提升,并展现出较好的药学服务实践能力。大部分药师于定性访谈中表达其对基于疾病的药学服务模式及患者沟通能力训练的学习需求。结论初步形成适应于社会药房药师提升慢病药物治疗管理综合能力的培训方案,基于疾病的医患沟通能力及药学服务流程训练应成为未来社会药房药师药物治疗管理服务能力学习的重点。Objective To explore training programs for pharmacists in retail pharmacies to implement medication therapy management services for patients with chronic diseases.Methods Combined with national conditions in China,the expert consultation method was used to establish a training program for pharmacists in retail pharmacies on chronic disease medication therapy management in terms of curriculum setting,teaching mode,and teaching assessment,and to implement the training.Qualitative interviews were conducted to gain an in-depth understanding of pharmacists'evaluations and suggestions on the training program.Results The training curriculum covered practice skills of pharmaceutical care and pharmacotherapeutics.The teaching modes included online learning and Q&A,case writing,roleplaying and standardized patient case practices,and teaching assessment was conducted through knowledge quizzes,objective structured clinical exams,practice tests and questionnaires.181 pharmacists attended and completed the training,and the score of their overall satisfaction with the training program was 4.7(out of a maximum score of 5.0).Through the training,pharmacists'knowledge and skill levels in medication therapy management as well as attitudes,confidence and perceptions of practice were significantly improved and demonstrated better pharmacy practice abilities.Most pharmacists expressed their learning needs for disease-based pharmacy service model and communication skills training with patients in qualitative interviews.Conclusion A training program suitable for retail pharmacists to improve the comprehensive ability of chronic disease medication therapy management has initially formed,and disease-based doctor-patient communication ability and pharmaceutical care process training should become the focus of learning in medication therapy management service ability of retail pharmacists.

关 键 词：药物治疗管理 社会药房 培训 慢病 药学服务 药师 

分 类 号：R95[医药卫生—药学]