Fakeye Titilayo O, Onyemadu Oluchi
Department of Clinical Pharmacy & Pharmacy Administration, University of Ibadan ( Nigeria ).
Department of Clinical Pharmacy & Pharmacy Administration, University of Ibadan , Ibadan ( Nigeria ).
Pharm Pract (Granada). 2008 Apr;6(2):88-92. doi: 10.4321/s1886-36552008000200005. Epub 2008 Jun 17.
The use of herbal medicines among Nigerian patients and the tendency to combine this class of medicines with allopathic drugs while on hospital admission have been on the increase. Earlier studies show that community pharmacists from Nigeria believe that they need more training to counsel patients on their use of herbal medications.
To evaluate knowledge base, use, acceptability, attitudes and beliefs of hospital pharmacists and physicians in South-western Nigeria on herbal products / phytopharmaceuticals /dietary supplements (HP/PP/DS).
A 20-odd questionnaire including an 8- item herbal medicine question was used to assess the knowledge of the physicians and pharmacists in the area of pharmacology of HP/PP/DS. Effects of demographic information such as age, sex, year post graduation, years of experience and area of specialization on the scores obtained were evaluated using Fisher's exact tests. Level of significance was set at p<0.05.
Pharmacists (51.4%) believed that the training they had was not adequate while physicians (44.6%) believed HP/PP/DS are not safe and 18.5% believed they are not effective. Pharmacovigilance centres were not significantly used for adverse reactions reported by patients. Pharmacists (67.6%) and physicians (29.3%) believed phytopharmaceuticals interact with other drugs. Year of graduation had a significant effect on the perception of the possibilities of interaction for pharmacists. 5.6% of the physicians and 62.4% of the pharmacists scored ≥50% with the questions on use and interaction potentials of HP/PP/DS, with cadre and years of practice having significant effects.
There is a deficiency in the knowledge base of physicians, especially on the pharmacology and potential interaction of herbal medicines. There is an urgent need for the inclusion of pharmacology of common herbal medicines in the curriculum of Nigerian medical degree and an improvement in the pharmacy curriculum in this area.
在尼日利亚患者中，草药的使用以及在住院期间将这类药物与西药联合使用的趋势一直在增加。早期研究表明，尼日利亚的社区药剂师认为他们需要更多培训，以便就草药的使用为患者提供咨询。
评估尼日利亚西南部医院药剂师和医生在草药产品/植物药/膳食补充剂（HP/PP/DS）方面的知识基础、使用情况、可接受性、态度和信念。
使用一份包含20多个问题的问卷，其中包括一个8项关于草药的问题，来评估医生和药剂师在HP/PP/DS药理学领域的知识。使用费舍尔精确检验评估年龄、性别、毕业年份、工作年限和专业领域等人口统计学信息对所得分数的影响。显著性水平设定为p<0.05。
药剂师（51.4%）认为他们所接受的培训不足，而医生（44.6%）认为HP/PP/DS不安全，18.5%的医生认为它们无效。患者报告的不良反应未显著利用药物警戒中心。药剂师（67.6%）和医生（29.3%）认为植物药会与其他药物相互作用。毕业年份对药剂师对相互作用可能性的认知有显著影响。5.6%的医生和62.4%的药剂师在关于HP/PP/DS使用和相互作用潜力的问题上得分≥50%，干部身份和工作年限有显著影响。
医生的知识基础存在不足，尤其是在草药药理学和潜在相互作用方面。迫切需要将常见草药药理学纳入尼日利亚医学学位课程，并改进该领域的药学课程。
