让社区药房参与癌症晚期治疗效果管理:癌症幸存者的意见。

IF 1.8 Q3 PHARMACOLOGY & PHARMACY
Nadia Lund Olsen , Ramune Jacobsen , Linda Aagaard Thomsen , Lotte Stig Nørgaard
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引用次数: 0

摘要

背景50%以上的癌症幸存者会出现癌症晚期反应(LEC)。目前的后续护理模式往往被证明是不够的,导致 LEC 无法解决。鉴于社区药剂师作为最容易获得的医疗保健专业人员所发挥的关键作用,以及以证据为基础的药学服务对以患者为中心的护理所带来的益处,探索社区药房在管理 LEC 方面的潜在贡献具有重要意义。这项研究旨在调查癌症幸存者对药房参与管理 LEC 的需求、偏好和态度。2021 年 8 月,该问卷被分发给丹麦癌症协会癌症患者小组的所有 611 名癌症幸存者。对所得定量数据进行了描述性统计分析,并对定性数据进行了主题内容分析。88%的受访者认为疲劳是最常见的 LEC。每四位受访者中就有三位(75%)对他们所接受的有关 LEC 的咨询水平表示不满,23% 的受访者透露,尽管觉得有必要与医护人员讨论 LEC,但他们并没有这样做。几乎所有的受访者每年都会去药店买药,并使用现有的产品来缓解 LEC。大约一半的受访者表示需要就如何正确使用这些产品进行咨询。尽管近一半的受访者愿意接受药房提供的咨询服务,但他们普遍对药房的谨慎性和工作人员的知识表示担忧。然而,还需要进一步调查,以确定幸存者对社区药房参与 LEC 管理的具体需求和期望。此外,幸存者提出的建议强调了加强药房员工知识和建立独立咨询区的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Involving community pharmacies in management of late effects of cancer treatment: Opinions from cancer survivors.

Background

More than 50 % of cancer survivors experience late effects of cancer (LEC). Current models of follow-up care often prove inadequate, resulting in unresolved LEC. Given the pivotal role of community pharmacists as the most accessible healthcare professionals and the demonstrated benefits of evidence-based pharmacy services on patient centered care, exploring the potential contribution of community pharmacies in managing LEC is relevant.

Objective

This study aimed to investigate cancer survivors' needs, preferences, and attitudes regarding pharmacy involvement in managing LEC.

Method

The developed questionnaire based on validated instruments underwent a pilot test among cancer survivors at four Danish community pharmacies. In August 2021, the questionnaire was distributed to all 611 cancer survivors of the Danish Cancer Society's cancer patient panel. The resulting quantitative data were subjected to descriptive statistical analysis, while qualitative data underwent a thematic content analysis.

Results

Among the 611 panel members, 354 responded to the questionnaire (response rate 58 %). Fatigue was the most frequent LEC experienced by 88 % of respondents. Three out of four (75 %) of respondents expressed dissatisfaction with the level of counseling they had received regarding LEC, and 23 % disclosed not having discussed LEC with a healthcare professional despite feeling the need to do so. Nearly all respondents visited pharmacies annually and used available products to alleviate LEC. Approximately half of respondents expressed a need for counseling on the appropriate use of these products. While nearly half of respondents were receptive to pharmacy-based counseling, concerns regarding discretion and staff knowledge were prevalent.

Conclusion

Cancer survivors experience an insufficiency in counseling on LEC and demonstrate an openness towards involving community pharmacies in addressing this gap. However, further investigation is warranted to delineate survivors' specific needs and expectations regarding community pharmacy involvement in LEC management. Additionally, suggestions from survivors underscore the importance of enhancing pharmacy staff knowledge and establishing discreet counseling areas.
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CiteScore
1.60
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