Berry Dianne, Bradlow Anthony, Courtenay Molly
University of Reading, Reading, UK.
J Clin Nurs. 2008 Jan;17(2):266-73. doi: 10.1111/j.1365-2702.2007.01980.x.
To assess the level of confidence that rheumatology patients would have in nurse prescribing, the effects on likely adherence and particular concerns that these patients have. In addition, given that information provision has been cited as a potential benefit of nurse prescribing, the present study assessed the extent to which these patients would want an explanation for the selected medicine, as well as which types of information should be included in such an explanation.
Nurse prescribing has been successfully implemented in the UK in several healthcare settings. Existing research has not addressed the effects on patients' confidence and likely adherence, nor have patients' information needs been established. However, we know that inadequate medicines information provision by health professionals is one of the largest causes of patient dissatisfaction.
Fifty-four patients taking disease-modifying drugs for inflammatory joint disease attending a specialist rheumatology clinic self-completed a written questionnaire.
Patients indicated a relatively high level of confidence in nurse prescribing and stated that they would be very likely to take the selected medication. The level of concern was relatively low and the majority of concerns raised did not relate to the nurse's status. Strong support was expressed for the nurse providing an explanation for medicine choice.
This research provides support for the prescription of medicines by nurses working in the area of rheumatology, the importance of nurses providing a full explanation about the selected medicines they prescribe for these patients and some indication as to which categories of information should be included.
Rheumatology patients who have not yet experienced nurse prescribing are, in general, positive about nurses adopting this role. It is important that nurses provide appropriate information about the prescribed medicines, in a form that can be understood.
评估风湿病患者对护士处方的信任程度、对可能的依从性的影响以及这些患者的特定担忧。此外，鉴于提供信息被认为是护士处方的一项潜在益处，本研究评估了这些患者希望对所选药物获得解释的程度，以及此类解释应包含哪些类型的信息。
护士处方已在英国的多个医疗环境中成功实施。现有研究尚未涉及对患者信任度和可能的依从性的影响，也未确定患者的信息需求。然而，我们知道医护人员提供的药物信息不足是患者不满的最大原因之一。
54名在专科风湿病诊所服用改善病情药物治疗炎性关节病的患者自行填写了一份书面问卷。
患者对护士处方表示出相对较高的信任度，并表示他们很可能会服用所选药物。担忧程度相对较低，提出的大多数担忧与护士的身份无关。患者强烈支持护士对药物选择作出解释。
本研究支持风湿病领域的护士进行药物处方，支持护士为这些患者就所选药物提供全面解释的重要性，并表明了应包含哪些类别的信息。
一般来说，尚未经历过护士处方的风湿病患者对护士承担这一角色持积极态度。护士以可理解的形式提供有关所开药物的适当信息非常重要。
