一般論文
患者の健康食品使用に関する薬剤師の行動実態調査
2009 年 35 巻 10 号 p. 685-692
詳細
2009 年 35 巻 10 号 p. 685-692
Our objective was to investigate pharmacists’clinical performance regarding the collection of information on herbs and dietary supplements (HDS),reporting of adverse events due to them and their interventions in this regard.To do this we sent a questionnaire to pharmacists who were registered users of the Internet-based Pharmacist’s Information-Sharing System.The respondents were 219 community pharmacists and 104 hospital pharmacists.Of the community pharmacists,29% said that they always checked patients’use of HDS,58% that it depends on the circumstances and 12% said they never checked HDS use without a particular reason.Most pharmacists thought they had insufficient information on HDS,15% of all respondents had taken courses to obtain more information and 12% were qualified or going to be qualified as an HDS adviser.Fifty-five respondents (17%) had observed adverse events that were presumably associated with the use of HDS.Pharmacists who always checked on HDS use when dispensing both OTC and prescription medications had a higher chance of noticing HDS-associated adverse events.On observing adverse events,more than 80% of the pharmacists investigated the causes or mechanisms to some extent,while 40% did not record or report them.
In conclusion,pharmacists’active acquisition of information on the safe use of HDS does not always lead to better clinical performance in this regard.Therefore,it is essential to make efforts to improve their performance concerning HDS and create a system for providing reliable information on them in order to promote their proper use.
