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首页> 外文期刊>The International journal of pharmacy practice >Practice and attitudes regarding the management of childhood diarrhoea among pharmacies in Thailand.
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Practice and attitudes regarding the management of childhood diarrhoea among pharmacies in Thailand.

机译：泰国药房中有关儿童腹泻管理的实践和态度。

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OBJECTIVES: to compare practice behaviour and attitudes of pharmacy personnel in the management of childhood diarrhoea between type I (requiring a pharmacist to be on duty) and type II (pharmacist not required) pharmacies, between those surveyed in 2008 and in 2001, and between new-generation (graduation 10 years) pharmacists. METHODS: the setting was 115 pharmacies in a city in the south of Thailand. The study was separated into two phases: a simulated client method to evaluate history taking, drug dispensing and advice giving among pharmacy personnel and a questionnaire to measure attitudes and factors affecting diarrhoea treatment. KEY FINDINGS: in the simulated client method study, questions asked and advice given by the providers (the pharmacists or non-pharmacists responding to the simulated clients), especially in type II pharmacies, were insufficient. Only 5.2% of pharmacies correctly dispensed for a child with viral diarrhoea, using oral rehydration salts (ORS) alone. Appropriate ORS dispensing of providers was not affected by shop type, survey time or peer generation. However, 52.2% of providers inappropriately dispensed antibiotics for such illness. In the questionnaire study, 108 completed surveys were obtained (a response rate of 93.9%). The providers working in 2008 more strongly agreed that ORS was effective, safe, used by health professionals and requested by patients, relative to those in 2001 (P < 0.05). No potential factor influencing the actual ORS dispensing was identified. Nevertheless, antibiotic dispensing was affected by beliefs in producing recovery and high profit. CONCLUSIONS: practice and attitudes of pharmacy personnel were inappropriate in the management of childhood diarrhoea. Revision of the pharmacy curriculum did not result in improvement of practice as seen by the similarity of practice patterns among the 2001 and 2008 samples. Improvement of knowledge and practice behaviour among providers in pharmacies is needed.
机译：目的：比较2008年和2001年调查的I型（要求药剂师值班）和II型（不需要药剂师）药房之间的药房人员在处理儿童腹泻中的实践行为和态度新一代（毕业 10年）药剂师。方法：在泰国南部某城市的115家药房进行设置。该研究分为两个阶段：模拟客户方法以评估药史人员的病史，药物分配和建议，以及问卷以测量影响腹泻治疗的态度和因素。关键发现：在模拟客户方法研究中，提供者（对模拟客户做出反应的药剂师或非药剂师）提出的问题和建议，特别是在II类药房中，是不够的。仅使用口服补液盐（ORS）的儿童中，只有5.2％的药房正确分配给了病毒性腹泻的儿童。提供商的正确ORS分配不受商店类型，调查时间或同伴生成的影响。但是，有52.2％的提供者为这种疾病分配了不当的抗生素。在问卷调查研究中，获得了108份完整的调查（答复率为93.9％）。与2001年相比，2008年工作的提供者更加强烈地认为ORS是有效，安全的，由卫生专业人员使用并且受到患者的要求（P <0.05）。尚未发现影响实际ORS分配的潜在因素。然而，抗生素分配受到生产恢复和高利润信念的影响。结论：药房人员的实践和态度不适合处理儿童腹泻。从2001年和2008年样本中的执业模式相似性可以看出，药房课程的修订并未导致执业水平的提高。需要改善药房提供者之间的知识和实践行为。

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