Marfo Afia Frimpomaa, Owusu-Daaku Frances Thelma, Kyerewaa-Akromah Evelyn
Department of Clinical & Social Pharmacy, Kwame Nkrumah University of Science and Technology. Kumasi ( Ghana ).
Pharm Pract (Granada). 2013 Apr;11(2):66-70. doi: 10.4321/s1886-36552013000200002. Epub 2013 Jun 30.
One vital requirement for patient adherence to medicines is good patient knowledge of the medicines dispensed and this will invariably be linked to good labelling and counselling.
The aim of this study was to evaluate the quality of labelling of medicines and determine patient knowledge of the administration of medicines dispensed from a community pharmacy in Ghana.
From 6th to 29th January, 2010, dispensed prescriptions of 280 clients were purposely sampled to evaluate the quality of labelling. These clients were also interviewed about their knowledge of the last medicine received immediately after dispensing. A scoring system was employed by awarding a point for each attribute written on the package and each attribute stated by the patient. The dispensing attributes noted were name, dosage, frequency, duration, quantity and route of administration.
Of the 280 patients interviewed, 157 (56%) were males. Thirty one (11%) had no education and 99(35%) were secondary school graduates. Antimalarials comprised 17.9% and analgesics, 15.4% of medicines dispensed. The name, quantity, dosage, frequency, duration of therapy and route of administration were written on the label in 98%, 99%, 55%, 54%, 6% and 2% respectively of the dispensed medicines. The mean labelling score was 3.096 (SD=1.05) out of 6. The corresponding patient knowledge values were 63%, 80%, 80%, 75%, 57% and 86%. The mean knowledge score was 4.375 (SD; 1.38) out of 6. The chi square test p-value for the effect of demographic characteristics (sex, educational background, location) on patient knowledge of medicines dispensed were p=0.454; p=0.000, and p=0.138 respectively.
Patient knowledge of the administration of dispensed medicines was rated good; and this largely corresponded with the quality of labelling, except that the duration of therapy and route of administration was not frequently written and so labelling was rated just above average.
患者坚持服药的一个关键要求是对所配药物有充分了解，而这必然与良好的标签说明和用药指导相关。
本研究旨在评估药物标签的质量，并确定加纳一家社区药房所配药物的患者用药知识情况。
2010年1月6日至29日，从280名客户的配药处方中进行有目的抽样，以评估标签质量。这些客户在配药后还被询问了他们对最后所配药物的了解情况。采用评分系统，为包装上书写的每个属性以及患者提及的每个属性各计一分。记录的配药属性包括名称、剂量、频率、疗程、数量和给药途径。
在接受访谈的280名患者中，157名（56%）为男性。31名（11%）未接受过教育，99名（35%）为中学毕业生。所配药物中，抗疟药占17.9%，镇痛药占15.4%。所配药物的标签上分别有98%、99%、55%、54%、6%和2%写明了名称、数量、剂量、频率、疗程和给药途径。标签的平均得分在6分制中为3.096（标准差=1.05）。患者相应的用药知识比例分别为63%、80%、80%、75%、57%和86%。知识的平均得分在6分制中为4.375（标准差；1.38）。关于人口统计学特征（性别、教育背景、地点）对患者所配药物知识影响的卡方检验p值分别为p = 0.454；p = 0.000和p = 0.138。
患者对所配药物用药知识情况的评分良好；这在很大程度上与标签质量相符，只是疗程和给药途径未经常写明，因此标签评分略高于平均水平。
