目的：瞭解藥師在接受抗凝血用藥指導教學後的學習成效。本研究用以加深同仁對於抗凝血藥品相關注意事項與病人衛教技巧的重要性，探討醫院藥師提供用藥指導的品質。

方法：本研究以筆試、口試設計學習評估題目，受測驗對象為服務於新竹市某醫院之藥師，在2020 年12 月至2021 年04 月期間進行學習評估，資料以Statistical Product and Service Solutions 統計軟體進行統計分析。

結果：在筆試中，四堂課程的前測與加權後後測成績都有顯著差異，加權後後測成績的平均數都比前測成績的平均數來得高(p < 0.05)。在口試中，針對不同的變項進行後測成績分析，包含是否為PGY（post-graduate year training，二年期新進藥師）、性別、年資，皆無顯著差異，研究顯示藥師特質不影響口試成績。滿意度調查結果，組間無顯著差異，顯示學員對於不同課程的教學滿意度無差異，總分的中位數皆為25 分顯示非常滿意。

結論：藥師整體學習成效有明顯上升，藥師對於教學滿意度為非常滿意。

 

Objective: This study aimed to understand the learning effects on pharmacists receiving instructions on anticoagulant medication. This study aimed to deepen the knowledge of hospital pharmacists on precautions related to anticoagulant agents and evaluate their patient health education skills by exploring the quality of medication guidance provided by them.

Methods: Learning assessments were designed using both written and oral examinations. The test participants were pharmacists serving at Hsinchu City Hospital, and the assessments were conducted from December 2020 to April 2021. Data were analyzed using the SPSS statistical software. The pharmacists underwent four courses on the following topics: principles of anticoagulant medication, interaction between patient health education knowledge and anticoagulant medication, how to connect warfarin and new oral anti-coagulant medication, and anticoagulant medication discontinuation after surgery.

Results: In the written exam, the pretest and weighted posttest grades of the four courses were significantly different, and the mean of the weighted posttest grades was higher than that of the pretest grades (p < 0.05). In the oral exam, posttest grades were analyzed against different variables, including postgraduate year training (2-year training for new pharmacists), sex, and job tenure; however, there were no significant differences. This led us to conclude that pharmacist characteristics did not affect the performance in oral examinations. The satisfaction survey results showed no significant differences between the four courses, indicating that there was no difference in the students’ satisfaction with teaching of the four courses, and the median total score was 25. Researchers have found that students’ satisfaction with teaching is very high.

Conclusions: There was a significant overall learning effect on the pharmacists after undergoing the four courses on anticoagulant medication, as indicated by a significant increase in posttest grades as compared to pretest grades. Pharmacists reported high levels of satisfaction with the teaching of the four courses.

 

Submitted for publication: 2022.9.26; Accepted for publication: 2023.7.3