Rôles et vécus des pharmaciens d’officine dans les soins palliatifs à domicile en France
Role and Experience of Community Pharmacists in Home Palliative Care in France
Abstract
The need for home palliative care is increasing in all Western countries. Community pharmacists are local professionals whose role in end-of-life care at home remains poorly understood. The aim of this study is to understand how community pharmacists see their role in end-of-life home care in France, and to analyze their experiences of this care. An online questionnaire was distributed to community pharmacists working in France between December 2022 and March 2023. Of the 136 respondents to the questionnaire, 87% had accompanied at least one patient at the end of life in the 3 months preceding the survey. Therapeutic education (88% of respondents), psychological support for caregivers (85% of respondents), securing treatment (82% of respondents) and monitoring therapeutic compliance (80% of respondents) are the behaviors validated by the greatest number of participants. The majority of professionals surveyed had a positive overall experience of managing patients at the end of life. These results pave the way for pharmacists to better support end-of-life patients at home.
Résumé
Les besoins en soins palliatifs à domicile augmentent dans l’ensemble des pays occidentaux. Les pharmaciens d’officine sont des professionnels de proximité dont les rôles dans les soins de fin de vie à domicile restent méconnus. Cette étude vise à comprendre les représentations des pharmaciens d’officine de leurs missions dans les soins de fin de vie à domicile en France et à analyser leurs vécus de ces accompagnements. Un questionnaire en ligne a été diffusé auprès d’officinaux en activité sur le territoire français entre décembre 2022 et mars 2023. Sur 136 répondants au questionnaire, 87% d’entre eux ont accompagné au moins un patient en fin de vie dans les 3 mois précédant l’enquête. L’éducation thérapeutique (88% des répondants), le soutien psychologique aux aidants (85% des répondants), la sécurisation des traitements (82% des répondants) et la surveillance de l’observance thérapeutique (80% des répondants) sont les comportements validés par le plus grand nombre de participants. Ces prises en charge de patients en fin de vie sont vécues de façon globalement positive par la majorité des professionnels interrogés. Ces résultats ouvrent la voie vers un meilleur accompagnement des patients en fin de vie à domicile par les pharmaciens officinaux.
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