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首页> 外文期刊>The International journal of pharmacy practice >Professional practices and experiences with complementary medicines: a cross-sectional study involving community pharmacists in England
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Professional practices and experiences with complementary medicines: a cross-sectional study involving community pharmacists in England

机译：补充药物的专业实践和经验：一项涉及英格兰社区药剂师的横断面研究

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Objective As retailers of complementary medicines (CMs), pharmacists are well placed to advise consumers on the safe and effective use of these products; where CMs are available in pharmacies, pharmacists should be well informed about such products. This study explored the extent to which CMs are available in community pharmacies in England, and examined pharmacists' experiences, professional practices and training with regard to these products. Method A cross-sectional study was conducted, involving a structured questionnaire posted to community pharmacists. Coded follow-up mailings were sent to non-responders after 2 and 4 months, and a reminder telephone call made after 3 months. Setting All community pharmacists in six areas (Devon, Cornwall, Bradford, Leeds, Manchester, Stockport) of England (total n = 1337). Key findings The response rate was 66.5%. Overall, 92% of respondents reported that CMs (excluding vitamins/minerals) are sold in the pharmacy in which they practise, 81% had received requests from patients/consumers for specific CMs in the previous year, and 58% had recommended CMs. Around 70% of respondents rarelyever asks about CMs use when counter-prescribing conventional medicines or when receiving reports of suspected adverse drug reactions (ADRs) associated with conventional medicines. In total, 40% of respondents had undertaken training in complementary/alternative medicine (CAM). Pharmacists who had undertaken training were more likely to ask patients/consumers specifically about use of CMs when counter-prescribing conventional over-the-counter (OTC) medicines (37.0% versus 23.4%, respectively; x2 = 17.4; p = 0.0003) and when receiving reports from patients/ customers of suspected ADRs associated with conventional (prescribed or OTC) medicines (35.6% versus 23.8%, respectively; x2 = 13.0; p=0.0003). Conclusion CMs are widely available in pharmacies in England, and pharmacists interact with users of these products. An opportunity exists for pharmacists to embrace a professional role as expert advisors on CMs. However, pharmacists' training, professional practices and competence with respect to CMs first need to improve.
机译：目标作为补充药品（CM）的零售商，药剂师有能力为消费者提供有关安全有效使用这些产品的建议;如果在药房有CM，则应向药剂师充分了解此类产品。这项研究探讨了在英国社区药房中可使用CM的程度，并研究了药剂师在这些产品方面的经验，专业实践和培训。方法进行了一项横断面研究，涉及向社区药剂师发布的结构化问卷。在2和4个月后，将已编码的后续邮件发送给未答复者，并在3个月后发出提醒电话。在英格兰的六个地区（德文，康沃尔，布拉德福德，利兹，曼彻斯特，斯托克波特）设置所有社区药剂师（总计n = 1337）。主要发现回复率为66.5％。总体而言，有92％的受访者表示CM（不包括维生素/矿物质）在其执业的药房出售，81％的患者/消费者在去年收到了针对特定CM的要求，而58％的人推荐了CM。大约70％的受访者很少/从未询问过在处方传统药物时或在收到与传统药物有关的可疑药物不良反应（ADR）的报告时使用CM的情况。总共有40％的受访者接受了补充/替代医学（CAM）培训。接受过培训的药剂师在处方传统的非处方药（OTC）时更可能向患者/消费者特别询问CM的使用（分别为37.0％和23.4％; x2 = 17.4; p = 0.0003）和当从患者/客户那里收到与常规（处方药或非处方药）相关的可疑ADR的报告时（分别为35.6％和23.8％; x2 = 13.0; p = 0.0003）。结论CM在英格兰的药房中广泛使用，并且药剂师与这些产品的使用者进行交互。药剂师有机会担任CM的专业顾问。但是，首先需要改进与CM相关的药剂师培训，专业实践和能力。

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