Department of Pharmacy Practice, McWhorter School of Pharmacy, Samford University, Birmingham, AL, USA.
J Am Pharm Assoc (2003). 2010 Nov-Dec;50(6):698-703. doi: 10.1331/JAPhA.2010.09081.
To determine whether limited transportation affects medication adherence in patients with epilepsy.
Descriptive, nonexperimental, cross-sectional study.
United States and worldwide, February to April 2007.
143 patients with epilepsy.
A 22-item survey was developed to ask patients with epilepsy or their caregivers about the impact of limited transportation on adherence with medications. The survey was placed on Zoomerang.com. An invitation to participate in the survey was sent via e-mail to members of the Epilepsy.com website, and an invitation with a link to the survey was placed on Epilepsy.com.
Whether patients with epilepsy have difficulty picking up prescriptions on time because of transportation problems and whether they felt they would miss fewer doses if transportation was not an issue.
143 individuals with epilepsy completed part or all of the survey. Of patients who were unable to drive, 45% reported that fewer doses would be missed if transportation was not a problem. Patients who were unable to drive had an odds ratio of 4.2 (P < 0.0001) of being unable to get medications on time. No differences were observed in the number of patients missing prescription medications associated with availability of insurance, use of mail service pharmacies, or population size of patients' area of residence. Ability to drive and distance to the pharmacy were the only factors associated with nonadherence.
Limited transportation may be a factor in poor medication adherence in patients with epilepsy.
确定交通限制是否会影响癫痫患者的用药依从性。
描述性、非实验性、横断面研究。
美国和全球,2007 年 2 月至 4 月。
143 例癫痫患者。
编制了一个 22 项的调查问卷,询问癫痫患者或其照顾者交通限制对药物依从性的影响。该调查在 Zoomerang.com 上进行。通过电子邮件向 Epilepsy.com 网站的成员发送了参与调查的邀请,并在 Epilepsy.com 上发布了一个带有调查链接的邀请。
癫痫患者是否因交通问题而难以按时取药,以及他们是否认为如果交通不是问题,他们会错过更少的剂量。
143 名癫痫患者完成了部分或全部调查。无法开车的患者中,45%的人表示,如果交通没有问题,他们会错过更少的剂量。无法开车的患者无法按时获得药物的几率比为 4.2(P<0.0001)。在与保险的可获得性、使用邮件服务药房或患者居住地的人口规模相关的漏服处方药物的患者数量方面,没有观察到差异。驾驶能力和到药房的距离是与不依从相关的唯一因素。
交通限制可能是癫痫患者用药依从性差的一个因素。