著者

今西 孝至 岡村 美代子 川端 崇義 髙山 明 楠本 正明

出版者

一般社団法人 日本プライマリ・ケア連合学会

雑誌

日本プライマリ・ケア連合学会誌 (ISSN:21852928)

巻号頁・発行日

vol.41, no.3, pp.92-99, 2018-09-20 (Released:2018-09-26)

参考文献数

9

被引用文献数

2

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目的:在宅医療における薬剤師の役割について全国のケアマネジャー(CM)にアンケート調査を行った.方法:日本介護支援専門員協会47都道府県支部に依頼状を郵送し,本調査に同意が得られた会員のみを対象とした.解析はテキストマイニングを用いた.結果:回答が得られたCMは206人で,医療職出身者が25%,介護福祉職出身者が75%であった.「薬剤師は在宅医療に必要か」の質問に90%のCMが「必要」と回答した.また,「必要」と回答した理由についてテキストマイニングによる解析の結果,医療職出身CMでは“指導”や“内服”,介護福祉職出身CMでは“相談”というキーワードが有意に出現した.結論:在宅医療における薬剤師の役割として,医療職出身CMは「患者・家族や他職種への指導について専門性を発揮すること」,介護福祉職出身CMは「服用薬や副作用に関する情報について相談に乗ること」に期待していることが明らかになった.

著者

今西 孝至 岩竹 柚樹 岡村 美代子 矢野 義孝 楠本 正明

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.47, no.1, pp.25-32, 2021-01-10 (Released:2022-01-10)

参考文献数

9

被引用文献数

1

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In order to prevent a crisis due to the increasing elderly population in 2025, home medical care should be enforced and promoted. Therefore, pharmacists are expected to play their roles in home medical care. However, pharmacists’ involvement in home medical care remains inadequate in Japan. In this study, a nationwide questionnaire survey was conducted on the awareness of visiting nurses about the roles of pharmacists in home medical care, and data were analyzed using the text mining method. A request letter was posted to 47 prefectural branches of the Japanese Nursing Association and 28 prefectural branches of The National Association for Visiting Nurse Service. Only members of these associations who agreed to participate in this survey responded. As a result, a total of 103 visiting nurses completed the questionnaires. “Distribution of medicines to the medication calendar” was one of the main medicine-related jobs performed by visiting nurses during home medical care. The majority of them (95% of visiting nurses replied “it is necessary”) indicated that pharmacists’ activity was required for home medical care. According to visiting nurses, the job expected from pharmacists in home medical care was the “centralized unitary management of medicines in collaboration with medical doctors.” In summary, our survey results suggest that an active intervention to polypharmacy by pharmacists in collaboration with home medical doctors is important for home medical care.

著者

小林 貴志 福本 恭子 土下 喜正 楠本 正明 上野 和行

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.32, no.8, pp.772-775, 2006-08-10 (Released:2007-11-09)

参考文献数

11

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It has been reported that the pharmacokinetics and pharmacodynamics of carvedilol vary between the S- and R- enantiomers. The aim of this study was to evaluate the pharmacokinetic characteristics of carvedilol for each enantiomer and apply this in clinical practice. Serum stereoselective concentrations of carvedilol were monitored in 60 Japanese inpatients who received a fixed dose of carvedilol. The concentrations were determined by high performance liquid chromatography (HPLC). Serum carvedilol concentration/dose of administered carvedilol ratios were determined for each enantiomer (R/D, S/D). The means±SD for R/D and S/D were 85.8±264.0 (10-3kg/L) and 29.0±78.2 (10-3kg/L), respectively. The mean for R/D tended to be larger than that for S/D (p=0.11), and the dispersion of R/D was significantly greater than that of S/D (p<0.01). Although a significant positive correlation was observed between R/D and S/D, a remarkable difference was observed in a few inpatients. These results suggest that the pharmacokinetics of carvedilol are different for each enantiomer. The monitoring of the stereoselective pharmacokinetics of carvedilol is therefore necessary to ensure proper use.