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向患者告知药品信息——英格兰一家医院的住院患者调查

Informing patients about medicines--a hospital in-patient survey in England.

机构信息

School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, Liverpool, UK.

出版信息

Patient Educ Couns. 2013 Feb;90(2):276-8. doi: 10.1016/j.pec.2012.09.011. Epub 2012 Oct 16.

Abstract

OBJECTIVE

To determine the frequency with which hospital in-patients receive information about medicines and whether this varies dependent on patient characteristics or hospitals.

METHODS

Cross-sectional survey of medical in-patients in six hospitals in North West England.

RESULTS

1218 questionnaires were completed sufficiently for analysis by medical in-patients. 534 (43.9%) respondents were informed fully about their medicines by a hospital doctor, nurse or pharmacist and 411 (33.9%) partly informed, but 272 (22.49%) had received no information or could not recall any. Fewer than 20% had received written medicines information. The majority of respondents (763; 62.6%) were not asked if they had any concerns or could not recall this. Patient factors including age, educational level and number of medicines taken did not influence whether or not medicines information was provided, but there were differences between hospitals.

CONCLUSION

There is considerable variation between hospitals in the frequency with which patients are given verbal and written information about medicines and are asked about any medicine-related concerns.

PRACTICE IMPLICATIONS

Informing patients about medicines while in hospital needs to be improved. Doctors, nurses and pharmacists all need to accept and co-ordinate responsibility for informing patients about medicines and asking if they have any concerns or questions.

摘要

目的

确定住院患者获得药品信息的频率,以及这种频率是否因患者特征或医院而异。

方法

对英格兰西北部六家医院的住院内科患者进行横断面调查。

结果

1218 份问卷由住院内科患者充分填写进行分析。534 名(43.9%)受访者由医院医生、护士或药剂师充分告知了他们的药品信息,411 名(33.9%)部分告知,但 272 名(22.49%)未获得任何信息或无法回忆起任何信息。不到 20%的受访者收到了书面药品信息。大多数受访者(763 人;62.6%)未被询问是否有任何疑虑或无法回忆起这一点。患者因素,包括年龄、教育水平和服用的药物数量,并不影响是否提供药品信息,但医院之间存在差异。

结论

医院之间在向患者提供药品口头和书面信息以及询问与药品相关的任何疑虑方面存在相当大的差异。

实践意义

需要改进在医院期间向患者提供药品信息的工作。医生、护士和药剂师都需要接受并共同承担告知患者有关药品的责任,并询问他们是否有任何疑虑或问题。

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