During the past decade, in light of aging population and growing incidence of chronic diseases, self-medication has become an increasingly common phenomenon as part of the health care system. Meanwhile, with self-medication becoming popular, the increasing risk of inappropriate medication has become a serious problem in the world and the security issue of traditional medicine(TM) use is one of its representatives. Thus, as the gatekeepers of the public self-medication, pharmacists can provide a variety of pharmaceutical care for TM, which is priority measure to reduce/contain the safety issues of TM use. The aim of this study was to explore the attitudes, knowledge, pharmacy practice towards TM of Chinese community pharmacists and barriers which hinder them to provide the pharmaceutical care in Guangzhou. A 31-item, semi-structured questionnaire, which was pre-tested and approved, was investigated to a quota sample of community pharmacists in Guangzhou from October 21, 2014. The result of this study was that there’re 231 effective questionnaires until November 14, 2014, which the response rate is about 85.6% (231/270). The results showed that nearly half of the respondents played in an indeterminate state in their professional roles and reponsibities towards TM. In the 10-questions knowlege test about TM, more than half of the respondents(59.3%) had 5-7 correct answers and the the average score of the respondents was 5.9 points, whicn means that knowledge about traditonal medicines of respondents is only in a middle level. In pharmacy practice, more than half of respondents were provide pharmacy servces only when necessary, which were in a passive state. The respondents mainly faced with barriers like “Lack of scientific evidence about TM products” (66.23%), “Ambiguity of the professional role of pharmacist” (52.81%), “Lack of appropriate professional knowledge” (50.22%) in the pharmacy practice. Overall, the community pharmacists in Guangzhou are still unclear in their roles and responsibilities towards safety use of TM products and their knowledges about TM should be improved, which lead to the pharmacists in a passive state when they provide provide pharmaceutical care of TM. Therefore, it should strengthen training about TM for pharmacists, improve legislation, clear roles and status of pharmacist, increase the availability of TM information for pharmacists in order to improve the quality of pharmaceutical care about TM provided by pharmacists.

人口老齡化加快，慢性疾病發病率偏高，使自我用藥在現代醫療體系中愈見 普遍，隨之增加的用藥不當的風險成為世界各國所面臨的嚴重困境，而傳統藥物 使用的安全問題則是其中的代表。對此，作為民眾用藥的把關者，藥師對傳統藥 物所提供的各種藥學服務是有效減少/遏制傳統藥物安全使用問題的首要措施。 本研究的目的是：探索廣州社區藥房藥師對傳統藥物產品的態度、知識、藥 學實踐情況以及了解阻礙其提供藥學服務的障礙。本研究以一份包含 31 條題目 的、已測試與通過的半結構式問卷於 2014 年 10 月 21 日起對廣州社區藥師進行 調查。研究結果為：至 2014 年 11 月 14 日調查結束，最終獲得有效問卷 231 份， 問卷的回應率為 85.6%（231/270）。結果顯示：近半數的受訪者對其在傳統藥物 方面擔當的專業角色及責任處於不確定狀態；而受訪者在關於傳統藥物的知識考 查中，以答對 5-7 題的藥師居多（59.3%），平均分為 5.9 分，僅處在中等水平； 在藥學實踐方面，超過半數的受訪藥師多處於“在必要時的時候提供藥學服務” 的被動狀態。在藥學實踐中，受訪藥師面臨著“缺乏傳統藥物的科學證據” （66.23%）、“藥劑師的專業角色不明確（” 52.81%）、“缺乏相關專業知識（” 50.22%） 等障礙。 總體而言，廣州社區藥師對自身在傳統藥物的安全使用中所扮演的角色及責 任尚處在不清晰狀態、其在傳統藥物方面的知識水平有待提高，由此導致了其在 傳統藥物藥學服務的提供中處於被動狀態，不利於藥學服務，因此，需要對藥師 加強傳統藥物方面的相關培訓，完善立法，明確藥師角色與地位，增加藥師在傳 統藥物方面的信息的可獲得性等幾方面入手來完善其藥學服務提供的質量。 關鍵字：社區藥師、傳統藥物、態度、知識、藥學實踐、障礙