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首页> 外文期刊>The International journal of pharmacy practice >Demonstrating the value of community pharmacists in New Zealand educating a targeted group of people to temporarily discontinue medicines when they are unwell to reduce the risk of acute kidney injury
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Demonstrating the value of community pharmacists in New Zealand educating a targeted group of people to temporarily discontinue medicines when they are unwell to reduce the risk of acute kidney injury

机译：展示新西兰社区药剂师的价值教育目标群体暂时停止药品，以减少急性肾损伤的风险

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Objective Acute kidney injury (AKI) prevention strategies for community-acquired AKI associated with severe acute illness have received attention in recent years. The objective of this study was to evaluate a community pharmacist AKI education programme aimed at patient self-management during acute dehydrating illnesses. Methods This was a multimethod study. Potential participants were identified by community pharmacists when they presented a prescription containing a study medicine. The intervention consisted of completion of a short demographic questionnaire and a pharmacist providing verbal AKI information and advice on self-management during acute dehydrating illness, including medicine withholding. This information was supported with take-home information. Participants were telephoned between 4 and 11 months later and invited to participate in a structured telephone interview. Descriptive statistics were generated from questionnaire responses, and interview data were analysed using manifest content analysis. Key findings One hundred and thirteen adults were recruited and 93 (82%) interviewed. Fifty-four (58%) interviewees remembered the pharmacist's education, and 51 (55%) had retained the information sheet. Fifty-eight (62%) would temporarily withhold medicines during acute dehydrating illnesses. Thirty-nine were comfortable they knew when to restart their medicines; 15 (38%) indicated this was once symptom-free for 48 h. Forty-six interviewees were comfortable about contacting their general practice; 16 (35%) would do this after 24 h of illness. Participants found the educational content and pharmacist approach acceptable. Conclusion A majority of participants accepted and remembered the information provided by their community pharmacist and felt comfortable to self-manage during acute dehydrating illness. A caveat is participant actions in practice may not be consistent with stated intentions.
机译：目的近年来，社区获得性急性肾损伤（AKI）并发重症急性疾病的预防策略受到关注。本研究的目的是评估社区药剂师AKI教育计划，旨在急性脱水疾病期间患者自我管理。方法这是一项多方法研究。社区药剂师在出示含有研究药物的处方时，确定了潜在参与者。干预措施包括填写一份简短的人口统计问卷，药剂师提供口头AKI信息，以及急性脱水疾病期间自我管理的建议，包括停药。此信息由带回家的信息支持。参与者在4到11个月后被打电话，并被邀请参加结构化的电话采访。从问卷回答中生成描述性统计数据，并使用清单内容分析对访谈数据进行分析。主要发现招募了113名成年人，并采访了93名（82%）。54名受访者（58%）记得药剂师的教育，51名受访者（55%）保留了信息表。58人（62%）会在急性脱水疾病期间暂时停止服药。39人很舒服，他们知道什么时候重新开始服药；15人（38%）表示，48小时内，这一症状一度消失。46名受访者对联系他们的全科医生感到满意；16人（35%）会在患病24小时后这样做。参与者认为教育内容和药剂师方法是可以接受的。结论大多数参与者接受并记住了社区药剂师提供的信息，并对急性脱水疾病期间的自我管理感到舒适。需要注意的是，参与者在实践中的行为可能与声明的意图不一致。

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