Mansoor Leila, Dowse Ros
Faculty of Pharmacy, Rhodes University, PO Box 94, Grahamstown, 6140, South Africa.
Health Educ Res. 2007 Feb;22(1):37-48. doi: 10.1093/her/cyl039. Epub 2006 Jun 8.
Written information to promote patient education is being increasingly recognized as an integral part of quality health care. The main objective of this study was to evaluate the effect of distributing a patient information leaflet (PIL) on knowledge acquisition and recall. Two different PILs were designed for co-trimoxazole tablets: a simple, shorter PIL that incorporated pictograms and text and a text-only PIL that was longer and more complex. Human immunodeficiency virus-positive participants on chronic co-trimoxazole therapy were enrolled from five local primary health care clinics in Grahamstown, South Africa, and were randomly allocated to a Control Group (no PIL), Group A (text-only PIL) or Group B (simple PIL with pictograms). At the preliminary interview, demographic data were collected and the tablets dispensed according to normal clinic protocol. In a follow-up interview approximately 14 days later, participant medicines knowledge was investigated by asking a series of questions. The mean percentage for medicines knowledge was significantly higher in the group that received the simple PIL incorporating pictograms (76.3%), compared with both the Control Group (43.3%) and the group who received the longer, text-only PIL (50.9%). This study reinforces the value of providing patients with an appropriately designed PIL to inform appropriate medicine-taking behaviour.
促进患者教育的书面资料正日益被视为优质医疗保健不可或缺的一部分。本研究的主要目的是评估发放患者信息手册（PIL）对知识获取和记忆的影响。针对复方新诺明片剂设计了两种不同的PIL：一种简单、篇幅较短的PIL，包含象形图和文字；另一种是纯文字的PIL，篇幅更长且更复杂。从南非格雷厄姆斯敦的五家当地初级保健诊所招募接受慢性复方新诺明治疗的人类免疫缺陷病毒阳性参与者，并将他们随机分配到对照组（无PIL）、A组（纯文字PIL）或B组（带象形图的简单PIL）。在初步访谈中，收集人口统计学数据，并按照正常诊所规程分发片剂。在大约14天后的随访访谈中，通过询问一系列问题来调查参与者的用药知识。与对照组（43.3%）和接受篇幅更长的纯文字PIL的组（50.9%）相比，接受带象形图的简单PIL的组的用药知识平均百分比显著更高（76.3%）。本研究强化了向患者提供设计恰当的PIL以告知正确用药行为的价值。
