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心内科患者用药信息:患者满意度与医生、护士和药剂师的角色认知和实践。

Information about medicines to cardiac in-patients: patient satisfaction alongside the role perceptions and practices of doctors, nurses and pharmacists.

机构信息

King's College London, Institute of Pharmaceutical Science, London, SE1 9NH, UK.

出版信息

Patient Educ Couns. 2011 Jun;83(3):360-6. doi: 10.1016/j.pec.2011.04.028. Epub 2011 May 19.

Abstract

OBJECTIVE

To explore the satisfaction of cardiac in-patients regarding the information they received about their medicines, and the role perceptions and practices of practitioners whose responsibility it was to provide such information.

METHOD

A questionnaire was constructed by selecting medicine information topics from a validated instrument, the Satisfaction with Information about Medicines Scale. Patients and practitioners were recruited from cardiac wards at a London teaching hospital providing tertiary care.

RESULTS

Questionnaires were returned by 140 patients and 52 doctors, 53 nurses and 4 pharmacists. Patients were satisfied with information about the action and usage of medicines but were significantly less satisfied with information about potential problems with their medicines. In parallel, practitioners provided more information about the action and usage of medicines than its potential problems.

CONCLUSIONS

Information gaps existed largely around potential problems with medicines which reflected the general lack of focus on these issues by the healthcare professionals studied. There was no consensus between doctors, nurses and pharmacists on perceptions of role responsibility of information provision.

PRACTICE IMPLICATIONS

Patients may become non-adherent to their medicines if insufficient information is provided. Role responsibilities should be co-ordinated when information about medicines is provided by a range of practitioners.

摘要

目的

探讨心脏病住院患者对其用药信息的满意度,以及负责提供此类信息的医务人员的角色认知和实践情况。

方法

从经验证的药物信息量表——用药满意度量表中选择药物信息主题,编制调查问卷。在为三级医疗提供服务的伦敦一所教学医院的心脏病房招募患者和医务人员。

结果

共收回 140 名患者和 52 名医生、53 名护士和 4 名药剂师的问卷。患者对药物作用和使用方面的信息表示满意,但对药物潜在问题方面的信息满意度明显较低。同时,医务人员提供的药物作用和使用方面的信息多于潜在问题方面的信息。

结论

信息差距主要存在于药物的潜在问题上,这反映了所研究的医疗保健专业人员普遍缺乏对这些问题的关注。医生、护士和药剂师在提供药物信息方面的角色责任认知上没有达成共识。

实践意义

如果提供的信息不足,患者可能会不遵医嘱用药。当由一系列医务人员提供药物信息时,应协调角色责任。

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