社區藥師對桃園民眾進行社區藥局照護的衛教成效

Effectiveness of Individualized Health Education by Community Pharmacists on Community Pharmaceutical Care among Taoyuan Residents

本研究說明桃園縣政府衛生局藥政課，邀請藥師對參與桃園縣政府整合性篩檢計畫的民眾，進行社區藥局照護（調劑權責、用藥安全、藥品分級和慢性病連續處方箋）的衛教成效。於2006年3月至7月共回收有效樣本1219份。前測總平均答對率為84.2%，民眾整體的社區藥局照護已有不錯的瞭解，唯對於藥品分級的瞭解最不足，慢性病連續處方箋次之。經藥師一對一的衛教（約10-15分鐘），後測答對率明顯提升，總平均答對率為99.3%，且達顯著差異（p＜.0001）。又線性複迴歸結果顯示，教育程度與年齡是衛教成效的影響因素，即教育程度越低及年齡越大其認知提升越高。在滿意度方面，民眾對於藥師講解的內容多為聽得懂，且整體滿意度平均分數高達3.89 （滿分4分）。

The aim of this study was to explore the effectiveness of individualized education by community pharmacists on cognition of community pharmaceutical care among Taoyuan residents. The content of community pharmaceutical care includes dispensing rights of the community pharmacy, safety of medication use, medication categories, and refills of prescription for chronic diseases. From March to July 2007, a total of 1219 Taoyuan residents participated in the study. The rate of correctness on pharmaceutical care was 84.2%, indicating that participants already had a basic concept on dispensing right, and safety of medication use. There was still some room for improvement in the cognition on medication categories, and refills of prescription for chronic diseases. The individualized education by community pharmacies took 10-15 minutes each. After education, significant improvement was seen with a 99.3% correct rate on pharmaceutical care (p<.0001). The multiple linear regressions reveal that education and age were two significant factors associated with the improvement of the posttest score after health education. Participants were satisfied with the education, with an average of 3.89 on a scale from 1 to 4.