a Health Literacy and Learning Program, Division of General Internal Medicine and Geriatrics , Feinberg School of Medicine, Northwestern University , Chicago , Illinois , USA.
J Health Commun. 2013;18 Suppl 1(Suppl 1):31-9. doi: 10.1080/10810730.2013.825671.
Understanding and organizing medication regimens can be challenging, and many patients struggle to properly dose prescribed medicine, potentially leading to less effective treatment or even harm. Generic prescriptions are increasingly common and may change in appearance, adding further complexity. The authors aimed to investigate familiarity with the drug regimen among a cohort of patients with diagnosed hypertension. Specifically, they determined the prevalence of patients' knowledge of their prescribed drug names and dosages compared to those who relied only on physical characteristics (size, shape, color) of their medications. The relationship between patients' identification strategies, self-reported adherence, and health outcomes (blood pressure control, hospitalization) were investigated. Patients who were dependent on the visual identification of their prescription medicine reported worse adherence. In addition, they had significantly lower rates of blood pressure control and greater risk of hospitalization. The ability to identify prescribed medicines by name may be helpful for screening and responding to patients at greater risk of making medication errors or being less engaged with their regimen for adherence purposes.
理解和组织药物治疗方案可能具有挑战性,许多患者难以正确剂量规定的药物,这可能导致治疗效果降低,甚至造成伤害。通用处方越来越常见,外观可能会发生变化,从而增加了复杂性。作者旨在调查一组诊断为高血压的患者对药物治疗方案的熟悉程度。具体来说,他们确定了与仅依靠药物物理特征(大小、形状、颜色)来识别药物的患者相比,患者对所开药物名称和剂量的了解程度的患病率。还研究了患者识别策略、自我报告的依从性与健康结果(血压控制、住院)之间的关系。依赖于视觉识别处方药物的患者报告的依从性更差。此外,他们的血压控制率明显较低,住院风险更高。通过药物名称识别处方药的能力可能有助于筛选和识别存在更大用药错误风险或对药物治疗方案的依从性较差的患者。