Strobach D, Vetter-Kerkhoff C, Bogner J, Breugst W, Schlöndorff D
Apotheke, Klinikum Innenstadt der Ludwig-Maximilians-Universität München.
Med Klin (Munich). 2000 Oct 15;95(10):548-51. doi: 10.1007/pl00002061.
With discharge from hospital, the correct use of his drugs is the responsibility of the patient. The patient's compliance mainly affects the success of therapy. An essential requirement for good compliance is informing the patient properly about the purpose and correct use of his drugs. In the first pilot study in Germany on this subject, we investigated how the additional patient medication counseling by a clinical pharmacist prior to discharge improves the patient's knowledge of his drugs.
During a 10-week period, 37 patients were randomly assigned to either an intervention group or a control group. Patients of the intervention group were verbally and in writing informed about the purpose and correct use of their drugs. The effect of the additional counseling was determined in both groups by a questionnaire at the time of discharge and a telephone interview 2 weeks later.
Patient medication counseling by a clinical pharmacist prior to discharge improves the patient's knowledge of his drugs as an essential requirement of good compliance. Taking into consideration the economical consequences of noncompliance and the financial problems of the public health system it is advisable to establish this service in German hospitals.
出院后，正确使用药物是患者的责任。患者的依从性主要影响治疗的成功。良好依从性的一个基本要求是适当地告知患者其药物的用途和正确用法。在德国关于该主题的首次试点研究中，我们调查了临床药剂师在出院前额外提供的患者用药咨询如何提高患者对其药物的了解。
在为期10周的时间里，37名患者被随机分配到干预组或对照组。干预组的患者通过口头和书面形式被告知其药物的用途和正确用法。两组均通过出院时的问卷调查和2周后的电话访谈来确定额外咨询的效果。
临床药剂师在出院前提供的患者用药咨询可提高患者对其药物的了解，这是良好依从性的基本要求。考虑到不依从的经济后果和公共卫生系统的财政问题，建议在德国医院设立这项服务。
