著者

南 絢子 水野 智博 宮川 泰宏

出版者

日本社会薬学会

雑誌

社会薬学 (ISSN:09110585)

巻号頁・発行日

vol.34, no.2, pp.97-107, 2015-12-10 (Released:2015-12-25)

参考文献数

11

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Following the Great East Japan Earthquake, many pharmacy students conducted support activities which was no requirement of pharmacist’s license. Although some pharmacy students reported their activities, there are no studies comprehensively analyzing this phenomenon. The purpose of this study was to survey the support activities of pharmacy students and to analyze the corresponding conditions. We conducted personal interviews with 22 pharmacy students involved in the support activities. The questionnaire included items about a student’s general attributes, activities, activity duration, and relevant locations. Further, we analyzed data on their attributes and personal information with respect to the support activities. Data on the activities were classified into 10 categories and evaluated based on pharmaceutical knowledge levels required for the support activities. According to the results of the interviews, the phases of the activities were classified into “sub-acute phase” and “chronic phase.” The relevant locations were medication collection points, shelters, and transit points for medical teams, temporary clinics, and temporary housing. Furthermore, according to the classification of activities by knowledge levels, activities depended on the students’ pharmaceutical knowledge; if they appropriately selected the activities (based on their pharmaceutical knowledge level), they could effectively participate in the support activities. The results of our survey suggest that pharmacy students can assist healthcare professionals, although the relevant activities are limited by the duration and pharmaceutical knowledge.

著者

倉地 茜 矢野 亨治 西川 佐紀子 岡島 亜衣 船橋 美和 日比 陽子 河野 紀子 宮川 泰宏 永井 拓 山村 恵子 山田 清文

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.43, no.3, pp.161-168, 2017-03-10 (Released:2018-03-10)

参考文献数

25

被引用文献数

1 1

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Warfarin is a useful and effective oral anticoagulant. The management of the prothrombin time-international normalized ratio (PT-INR) is important for ensuring appropriate warfarin-based anticoagulation therapy. Here, we developed an anticoagulation management support (ACMS) system involving self-monitoring of the PT-INR and an Internet-based reporting system for outpatients. In the ACMS system, outpatients monitor their own PT-INR values using a CoaguChek® XS rapid measuring device and report the data to medical staff via a website. Then, the medical staff reply to the patients with information about their next dosage of warfarin based on the reported PT-INR data. We employed protocol-based pharmacotherapy management (PBPM), which was conducted by pharmacists, linked to the ACMS system to treat outpatients who received combination therapy involving warfarin and drugs that can have drug-drug interactions with warfarin, such as rifampicin, miconazole, 5-FU, and S-1. In the present study, we investigated the safety and efficacy of PBPM in 6 patients. There were no major discrepancies between the PT-INR values measured by self-monitoring and those obtained at hospital, and the patients did not make any errors when inputting their data via the website. By applying PBPM, anticoagulation therapy with warfarin was found to be safe and effective, and the time in therapeutic range was 82.1 ± 7.3% (mean ± SD). No major adverse events, such as bleeding or embolisms, occurred in any patient during the observation period. These results suggest that PBPM linked to the ACMS has beneficial effects on warfarin-based anticoagulation therapy in outpatients.