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首页> 外文期刊>Journal of the American Pharmacists Association: JAPhA >Pharmacist telemonitoring of antidepressant use: effects on pharmacist-patient collaboration.
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Pharmacist telemonitoring of antidepressant use: effects on pharmacist-patient collaboration.

机译：药剂师远程监控抗抑郁药的使用：对药剂师与患者之间的协作的影响。

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OBJECTIVE: To explore the impact of telephone-based education and monitoring by community pharmacists on multiple outcomes of pharmacist-patient collaboration. DESIGN: A randomized, controlled, unblinded, mixed experimental design. SETTING: Eight Wisconsin community pharmacies within a large managed care organization. PATIENTS: A total of 63 patients presenting new antidepressant prescriptions to their community pharmacies. INTERVENTIONS: Patients were randomized to receive either three monthly telephone calls from pharmacists providing pharmacist-guided education and monitoring (PGEM) or usual pharmacist's care. Usual care is defined as that education and monitoring which pharmacists may typically provide patients at the study pharmacies. MAIN OUTCOME MEASURES: Patient's frequency of feedback with the pharmacist, antidepressant knowledge, antidepressant beliefs, antidepressant adherence at 3 and 6 months, improvement in depression symptoms, and orientation toward treatment progress. RESULTS: Of the 60patients who completed the study, 28 received PGEM and 32 received usual pharmacist's care. Results showed that PGEM had a significant and positive effect on patient feedback, knowledge, medication beliefs, and perceptions of progress. There were no significant group differences in patient adherence or symptoms at 3 months; however, PGEM patients who completed the protocol missed fewer doses than did the usual care group at 6 months (P < or = .05). CONCLUSION: Antidepressant telemonitoring by community pharmacists can significantly and positively affect patient feedback and collaboration with pharmacists. Longer-term studies with larger samples are needed to assess the generalizability of findings. Future research also needs to explore additional ways to improve clinical outcomes.
机译：目的：探讨社区药剂师进行的基于电话的教育和监控对药剂师与患者协作的多种结果的影响。设计：随机，受控，无盲，混合实验设计。地点：一家大型管理式护理组织内的八个威斯康星州社区药房。患者：共有63名患者向社区药房提出了新的抗抑郁药处方。干预措施：患者被随机分配接受药剂师指导的教育和监测（PGEM）或常规药剂师护理的药剂师的三个月电话通话。通常的护理定义为对哪些药剂师通常可以在研究药房为患者提供教育和监控。主要观察指标：患者与药剂师的反馈频率，抗抑郁药知识，抗抑郁药信念，3个月和6个月时抗抑郁药的依从性，抑郁症状的改善以及治疗进展的方向。结果：在完成研究的60位患者中，有28位接受了PGEM，而32位接受了常规药剂师的护理。结果表明，PGEM对患者的反馈，知识，用药信念和进展知觉有显着而积极的影响。 3个月时患者的依从性或症状无明显的组别差异;但是，完成方案的PGEM患者在6个月时错过的剂量比常规护理组少（P <或= .05）。结论：社区药剂师进行的抗抑郁剂远程监控可以显着且积极地影响患者的反馈以及与药剂师的合作。需要对较大样本进行长期研究，以评估发现的普遍性。未来的研究还需要探索改善临床结果的其他方法。

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