HIV感染症診療における薬剤師介入が医療者側へもたらす効果に関する実態調査

―エイズ治療ブロック拠点病院およびACCにおける検討―

抄録

In this study, a survey was conducted to examine a possible means by which pharmacists could intervene in the medical care of human immunodeficiency virus (HIV) patients. A questionnaire was distributed to 15 medical institutions in Japan, targeting relevant doctors and nurses. Among the respondents (45 doctors and 40 nurses), 92.5% of doctors and 91.1% of nurses were either “satisfied” or “somewhat satisfied” with the pharmacists' interventions. The responses of satisfied and dissatisfied professionals were compared. The results revealed that the satisfied group had significantly more doctors who understand the medication adherence support provided by pharmacists to patients (P = 0.006). Among doctors, items such as “improved quality of HIV medical care” or “reduction of the burden on doctors” were associated with various pharmacist interventions, particularly “proposing antiretroviral therapy (ART) prescriptions,” “support provided for side effects,” “support for drug interactions,” “proposing medical examination orders,” “strategic intervention in preventing opportunistic infections (OI),” “responding to consultations about drug information,” and “educating patients on ART” (P = 0.000 - 0.044). Among nurses, only “proposing ART prescriptions” was significantly associated with satisfaction (P = 0.040). To enhance pharmacists' contributions within the HIV medical care team, their role in the prescription of ART, medication examination orders, and OI preventive measures could be further encouraged. We believe that cooperation between pharmacists and other professionals is necessary in determining appropriate therapeutic strategies in HIV care.