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出院时的功能健康素养与药物理解

Functional health literacy and understanding of medications at discharge.

作者信息

Maniaci Michael J, Heckman Michael G, Dawson Nancy L

机构信息

Division of Hospital Internal Medicine, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL 32224, USA.

出版信息

Mayo Clin Proc. 2008 May;83(5):554-8. doi: 10.4065/83.5.554.


DOI:10.4065/83.5.554
PMID:18452685
Abstract

The objective of this study was to evaluate patient knowledge of newly prescribed medication after hospital discharge. We reviewed the charts of 172 patients who were discharged from February 1, 2006, through April 25, 2006, from the internal medicine residency service at a community-based teaching hospital with prescriptions for 1 or more new medications. Between 4 and 18 days after discharge, patients were contacted by telephone and asked about the name, number, dosages, schedule, purpose, and adverse effects of the new medication(s) and whether they could name their medical contact person. We recorded the number of correct answers, patient age, and years of education. Of the survey respondents, 86% were aware that they had been prescribed new medications, but fewer could identify the name (64%) or number (74%) of new medications or their dosages (56%), schedule (68%), or purpose (64%). Only 11% could recall being told of any adverse effects, and only 22% could name at least 1 adverse effect. Older patients tended to answer fewer questions correctly (P=.02). We observed no association between the number of correctly answered questions and years of education (P=.57), time between discharge and survey (P=.17), or number of new medications (P=.65). Overall, we found that patients had limited knowledge about their medications after discharge from an internal medicine residency service, with age but not years of education significantly associated with level of knowledge.

摘要

本研究的目的是评估患者出院后对新处方药物的了解情况。我们查阅了2006年2月1日至2006年4月25日期间从一家社区教学医院内科住院医师服务部出院的172例患者的病历,这些患者均开具了1种或更多新药物的处方。出院后4至18天,通过电话联系患者,询问新药物的名称、数量、剂量、服药时间、用途和不良反应,以及他们是否能说出自己的医疗联系人。我们记录了正确答案的数量、患者年龄和受教育年限。在接受调查的患者中,86%的人知道自己被开了新药物,但能说出新药物名称的人较少(64%),能说出数量的人较少(74%),能说出剂量的人较少(56%),能说出服药时间的人较少(68%),能说出用途的人较少(64%)。只有11%的人能回忆起被告知的任何不良反应,只有22%的人能说出至少1种不良反应。老年患者正确回答的问题往往较少(P = 0.02)。我们观察到正确回答问题的数量与受教育年限(P = 0.57)、出院与调查之间的时间(P = 0.17)或新药物数量(P = 0.65)之间没有关联。总体而言,我们发现内科住院医师服务部的患者出院后对其药物的了解有限,年龄而非受教育年限与知识水平显著相关。

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