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Management of hypertension in an Australian community pharmacy setting - patients' beliefs and perspectives

机译:澳大利亚社区药房环境中的高血压管理 - 患者的信仰和观点

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Objective To explore patients' perspectives and experiences following a trial of a pharmacist-led service in hypertension management.Methods A qualitative study comprising individual interviews was conducted. Patients of a community pharmacy, where a pharmacist-led hypertension management service had been trialled in selected metropolitan regions in Sydney (Australia), were recruited to the study. Emergent themes describing patients' experiences and perspectives on the service were elicited via thematic analysis (using manual inductive coding).Key findings Patients' (N = 18) experiences of the service were extremely positive, especially around pharmacists' monitoring of blood pressure and provision of advice about medication adherence. Patients' participation in the service was based on their trust in, and relationship with, their pharmacist. The perception of working in a 'team' was conveyed through the pharmacist's caring style of communication and the relaxed atmosphere of the community pharmacy. Patients felt that the community pharmacy was an obvious place for such a service because of their regular contact with the pharmacist, but was limited because the pharmacists were not able to prescribe medication. Conclusion Patients were extremely positive about the role of, and their experience of, the pharmacy-based hypertension management service. Factors contributing to the patients' positive experiences provide important insights for community pharmacy practice. Good rapport with the pharmacist and a long-term relationship underpin patient engagement in such services. Restrictions on the pharmacists' scape of practice prevent their expertise, and the benefits of their accessibility as a primary point of contact, from being fully realised.
机译:目的探讨患者在高血压管理中试用药剂师LED服务后患者的观点和经验。方法进行了一个包括各个访谈的定性研究。在悉尼(澳大利亚)选定的大都市区(澳大利亚)在悉尼(澳大利亚)的选定大都市地区,招聘了患者。通过专题分析引发了描述患者经验和观点的紧急主题(使用手动电感编码).Key调查结果,服务的(N = 18)服务的经验非常积极,特别是药剂师的血压监测和提供关于药物遵守的建议。患者的参与是基于他们对他们的药剂师的信任和关系。通过药剂师的关怀通信风格和社区药房的轻松氛围,传达了对“团队”工作的看法。由于与药剂师的定期接触,患者认为社区药房是这种服务的显而易见的地方,而是有限的,因为药剂师无法开药。结论患者对基于药房的高压管理服务的作用非常积极的作用及其经验。为患者提供积极经验的因素为社区药学实践提供了重要的见解。与药剂师的良好关系和长期关系,患者在此类服务中的参与。对药剂师的练习的限制防止了他们的专业知识,以及其可访问性作为主要联系方式的好处,从完全实现。

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