醫院藥師提供用藥指導之態度與行為意向

Pharmacists' Attitude and Behavioral Intention about Patient Counseling in Ambulatory Care

劉玉山(Yu-San Liu) ； 王佳惠(Chia-Hui Wang) ； 郭乃文(Nai-Wen Kuo)

《北市醫學雜誌》 4卷2期 (2007/02) Pp. 167-181

https://doi.org/10.6200/TCMJ.2007.4.2.09

摘要

目的：為確保病患用藥安全及知藥的權益，藥師在調劑處方後，交付藥物給病患時，需進行用藥指導。本研究旨在強調藥師對門診病患提供「用藥指導」的重要性，探討醫院藥師對門診病患提供用藥指導的態度及行為意向。方法：本研究根據Ajzen所提出的計劃行為理論來設計研究問卷，問卷對象為服務於臺北市醫院之藥師，在2005年4月1日至4月30日止共發出問卷544份，回收414份，其中有效問卷391份，有效回收率為71.9%，所得資料以SPSS統計軟體進行統計分析。結果：藥師對提供門診病患「用藥指導」有高度的認知態度，其「態度」、「主觀規範」、「行為控制認知」與「行為意向」有顯著的相關性，但只有「態度」與「主觀規範」對「行為意向」具影響力。結論：研究結果顯示，如果藥師調配的處方過多，則只能進行重複核對藥品調配的正確性，而忽略進行處方判斷性服務及對病患用藥指導。因此，藥師適當之工作量有助於發揮其專業，以提供民眾用藥安全與用藥品質的保障。

關鍵字

用藥安全 ； 用藥指導 ； 計畫行為理論

並列摘要

Background and Purpose: For the safer medication treatment, how to use the medicines correctly is a very important issue that patients have to know. A pharmacist should conduct patient counseling when handing over the medicine to the patient in order to increase medication safety and reduce medication errors. This study aimed to emphasize the importance of patient counseling as well as to explore pharmacists' attitude and behavioral intention of patient counseling in ambulatory care. Methods: The research questionnaire was developed based on Ajzen's ”Theory of Planned Behavior”. Subjects were selected from different levels of hospitals in Taipei. A total of 544 questionnaires were mailed out; in the end, 414 valid questionnaires were returned, with an effective response rate of 71.87%. Descriptive statistics, ANOVA, correlation analysis and multiple regression analysis were used in data analysis. Results: Pharmacists have high attitude toward to patient counseling and there was a significant relationship between pharmacists' attitude, subject norm, perceived behavioral control and behavioral intention of patient counseling. However, only the pharmacists' attitude and subject norm had significant effects on the behavioral intention of patient counseling. Although the amount of prescription in regional hospitals and district hospitals was less than that of medical centers, pharmacists' workload was heavier and work time was longer. Conclusion: If the amount of prescription was too much, pharmacists only can check the correctness of prescription then hand over to patients without providing prescription rechecking, screening and patient counseling. It means that with appropriate workload, pharmacists will be able to provide their professional service to improve medication safety.

並列關鍵字

medication safety ； patient counseling ； theory of planned behavior