医院药师心理契约对药物依从性管理的影响：工作倦怠的中介作用
The impact of hospital pharmacists' psychological contracts on medication adherence management: The mediating role of job burnout.
摘要(中文译文)
本研究旨在探讨医院药师心理契约与其在患者用药依从性管理中的态度和行为之间的关系，为提升药师参与依从性管理提供坚实的科学依据和实践建议。研究采用德尔菲评价法，邀请医疗机构药学专家对《药师对患者用药依从性管理的态度与行为量表》进行修订。随后，将该量表与其他相关工具结合，对中国贵州省两个城市公立医疗机构的药师进行问卷调查。《患者用药依从性管理态度量表》表现出良好的信度，Cronbach's α系数为0.796，KMO值为0.899。《患者用药依从性管理行为量表》的信度更高，Cronbach's α为0.986，KMO值为0.963。研究发现，药师心理契约与其对患者用药依从性管理的态度和行为之间存在显著正相关（P < 0.01）。此外，职业倦怠被确定为部分中介变量，占总效应的23.41%。应实施有针对性的干预措施以强化心理契约，从而提升药师的工作动机和绩效，最终促进患者安全和治疗效果。药师心理契约的履行在提升其参与用药依从性管理方面发挥着关键作用。应实施有针对性的干预措施以强化这些心理契约，从而改善药师的工作动机和绩效，最终促进患者安全和治疗效果。
Abstract
This study examines the relationship between hospital pharmacists' psychological contracts and their attitudes and behaviors in managing patient medication adherence. The goal is to provide a solid scientific foundation and practical recommendations for improving pharmacists' involvement in adherence management. A Delphi evaluation, involving pharmacy experts from healthcare institutions, was conducted to refine the Pharmacists' Attitudes and Behaviors Toward Patient Medication Adherence Management Scale. This scale, alongside other relevant instruments, was used to survey pharmacists working in public healthcare institutions across two cities in Guizhou, China. The Attitudes Toward Patient Medication Adherence Management Scale exhibited strong reliability, with a Cronbach's α coefficient of 0.796 and a KMO value of 0.899. The Behaviors Toward Patient Medication Adherence Management Scale demonstrated even higher reliability, with a Cronbach's α of 0.986 and a KMO value of 0.963. A significant positive correlation was found between pharmacists' psychological contracts and their attitudes and behaviors toward patient medication adherence management (P < 0.01). Additionally, job burnout was identified as a partial mediator, accounting for 23.41% of the total effect; Targeted interventions to strengthen psychological contracts should be implemented to improve pharmacists' motivation and performance, ultimately boosting patient safety and treatment outcomes. The fulfillment of pharmacists' psychological contracts plays a key role in enhancing their involvement in medication adherence management. Targeted interventions to strengthen these psychological contracts should be implemented to improve pharmacists' motivation and performance, ultimately boosting patient safety and treatment outcomes.
如何引用
AMA
Yongyong Luo, Mei Nie, Cheng Chen, Yong He, Xiaoyu Jiang, Jianhua Tang, et al. The impact of hospital pharmacists' psychological contracts on medication adherence management: The mediating role of job burnout.. PloS one. 2026; doi:10.1371/journal.pone.0347880.
APA
Yongyong Luo, Mei Nie, Cheng Chen, Yong He, Xiaoyu Jiang, Jianhua Tang, et al (2026). The impact of hospital pharmacists' psychological contracts on medication adherence management: The mediating role of job burnout.. PloS one. https://doi.org/10.1371/journal.pone.0347880
GB/T 7714
Yongyong Luo, Mei Nie, Cheng Chen, Yong He, Xiaoyu Jiang, Jianhua Tang, et al. The impact of hospital pharmacists' psychological contracts on medication adherence management: The mediating role of job burnout.[J]. PloS one, 2026 doi:10.1371/journal.pone.0347880.
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