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根据从综合医院出院的患者的信息需求进行药物治疗。

Information needs about medication according to patients discharged from a general hospital.

机构信息

Department of Hospital Pharmacy, Sint Lucas Andreas Hospital, Amsterdam, The Netherlands.

出版信息

Patient Educ Couns. 2011 Apr;83(1):22-8. doi: 10.1016/j.pec.2010.05.020. Epub 2010 Jun 15.

Abstract

OBJECTIVE

Medication regimens change during hospital admission, and these discrepancies can lead to an increased risk of patient harm after hospital discharge. Information about medication according to the patient's needs may contribute to patient safety by improvement of knowledge and adherence. The goal of this study is to explore the patient's needs on information about medication at hospital discharge.

RESEARCH DESIGN AND METHODS

Qualitative, semi-structured interviews were performed with 31 patients from the pulmonology, internal medicine and cardiology departments who were discharged with at least one prescribed drug from the hospital to primary care in the Netherlands. Interviews were analysed with content analysis.

RESULTS

Patients had variable needs concerning information about discharge medication. Most patients wanted to receive basic information about their medication, alternatives for the prescribed medication and side effects. Some patients did not need basic information or explicitly mentioned that information about side effects would negatively influence their attitude towards medication. Patients preferred a combination of oral instructions and written information.

CONCLUSIONS

Information at discharge should be tailored to the individual needs of the patient.

PRACTICE IMPLICATIONS

In the process of providing patient information at hospital discharge, the preference of some patients for non-disclosure of information should be recognised.

摘要

目的

患者在住院期间的治疗方案可能发生改变,这些差异可能会增加患者出院后受到伤害的风险。根据患者的需求提供药物信息,可能有助于提高知识水平和用药依从性,从而提高患者安全性。本研究旨在探讨患者在出院时对药物信息的需求。

研究设计和方法

对荷兰的肺病、内科和心脏病科的 31 名出院患者进行了定性、半结构化访谈,这些患者出院时至少有一种药物需要到初级医疗机构进行后续治疗。采用内容分析法对访谈内容进行分析。

结果

患者对出院药物信息的需求存在差异。大多数患者希望获得药物的基本信息、替代药物和副作用等方面的信息。部分患者不需要基本信息,或者明确表示药物副作用的相关信息会影响他们对药物的态度。患者更喜欢口头指导和书面信息相结合的方式。

结论

出院时的信息应根据患者的个体需求进行调整。

实践意义

在提供出院患者信息的过程中,应认识到部分患者不希望被告知药物副作用等相关信息。

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