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出院患者对其用药情况了解多少?

What do discharged patients know about their medication?

作者信息

Kerzman Hana, Baron-Epel Orna, Toren Orly

机构信息

Nursing Research Unit, Nursing Division, The Chaim Sheba Medical Center, Tel-Hashomer, Israel.

出版信息

Patient Educ Couns. 2005 Mar;56(3):276-82. doi: 10.1016/j.pec.2004.02.019.

Abstract

Patient's knowledge is a necessity for empowering patients to perform self-care, especially when dealing with new, ill-defined and unknown situations. The aim of this paper is to assess patients' reported as opposed to correct knowledge about medication therapy after discharge from hospital and to identify factors that increase correct knowledge. Three hundred and forty-one patients were interviewed 7-14 days after discharge from six internal wards in a large medical facility in Israel. Most patients (73%) were aware of the course and purpose of their medication. They were, however, unaware of side effects, needed lifestyle changes, and correct medication schedules. A large difference was found between levels of reported and correct knowledge about various issues regarding medication treatment. No significant correlation was found between correct knowledge about medication therapy at discharge, and gender, age, education, patient satisfaction and wish for more counseling. The only factor which significantly affected levels of correct knowledge was whether the patient had received medication counseling during hospitalization. The findings illuminate the gap between patients' perception of knowledge and actual knowledge. The study indicates the need for patient counseling during hospitalization, with respect to medication therapy.

摘要

患者的知识对于促使患者进行自我护理是必要的,尤其是在应对新的、定义不明确和未知的情况时。本文的目的是评估患者出院后所报告的与正确的药物治疗知识,并确定增加正确知识的因素。在以色列一家大型医疗机构的六个内科病房,对341名患者在出院后7至14天进行了访谈。大多数患者(73%)了解其用药疗程和目的。然而,他们不知道副作用、所需的生活方式改变以及正确的用药时间表。在关于药物治疗的各种问题上,所报告的知识水平与正确知识水平之间存在很大差异。出院时关于药物治疗的正确知识与性别、年龄、教育程度、患者满意度以及接受更多咨询的愿望之间未发现显著相关性。唯一显著影响正确知识水平的因素是患者在住院期间是否接受了用药咨询。研究结果揭示了患者对知识的认知与实际知识之间的差距。该研究表明,在住院期间进行关于药物治疗的患者咨询很有必要。

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