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药剂师对药物警戒及药品不良反应报告流程的知识、实践与态度。

Pharmacist's knowledge, practice and attitudes toward pharmacovigilance and adverse drug reactions reporting process.

作者信息

Suyagh Maysa, Farah Doaa, Abu Farha Rana

机构信息

Department of Biopharmaceutics and Clinical Pharmacy, Faculty of Pharmacy, University of Jordan, Amman 11942, Jordan.

Faculty of Pharmacy, Alzarqa Private University, Zarqa, Jordan.

出版信息

Saudi Pharm J. 2015 Apr;23(2):147-53. doi: 10.1016/j.jsps.2014.07.001. Epub 2014 Jul 10.

Abstract

BACKGROUND

Adverse drug reactions (ADRs) are a major cause of drug related morbidity and mortality. Pharmacovigilance is the science that plays an essential role in the reduction of ADRs, thus the evolution and growth of this science are critical for effective and safe clinical practice.

OBJECTIVES

This study is considered the first study in the region to evaluate pharmacist's knowledge, practice and attitudes toward ADRs reporting after establishing the national ADRs reporting center in Jordan.

METHOD

A cross sectional study was used to evaluate pharmacist knowledge and attitude toward ADRs reporting. A structured validated questionnaire was developed for this purpose and a total of 208 pharmacists were recruited to participate in this study.

RESULTS

The majority of pharmacists have insufficient awareness and lack of knowledge about pharmacovigilance and ADRs reporting. Also the rate of reporting of ADRs was extremely poor. Several factors were found to discourage pharmacists from reporting ADRs, which include inadequate information available from the patient, unavailability of pharmacist ADRs form when needed, unawareness of the existence of the national ADRs reporting system. Also pharmacists think that ADRs are unimportant or they did not know how to report them.

CONCLUSION

The results of this study suggest that pharmacists have insufficient knowledge about the concept of pharmacovigilance and spontaneous ADRs reporting. On the other hand, pharmacists had positive attitudes toward pharmacovigilance, despite their little experience with ADRs reporting. Educational programs are needed to increase pharmacist's role in the reporting process, and thus to have a positive impact on the overall patient caring process.

摘要

背景

药物不良反应(ADR)是药物相关发病和死亡的主要原因。药物警戒是一门在减少药物不良反应方面发挥重要作用的科学,因此这门科学的发展和成长对于有效和安全的临床实践至关重要。

目的

本研究被认为是该地区在约旦建立国家药物不良反应报告中心后,首次评估药剂师对药物不良反应报告的知识、实践和态度的研究。

方法

采用横断面研究来评估药剂师对药物不良反应报告的知识和态度。为此编制了一份经过验证的结构化问卷,共招募了208名药剂师参与本研究。

结果

大多数药剂师对药物警戒和药物不良反应报告的认识不足且缺乏相关知识。此外,药物不良反应的报告率极低。发现有几个因素阻碍药剂师报告药物不良反应,包括从患者那里获得的信息不足、需要时没有药剂师药物不良反应表格、不知道国家药物不良反应报告系统的存在。药剂师还认为药物不良反应不重要,或者他们不知道如何报告。

结论

本研究结果表明,药剂师对药物警戒概念和自发药物不良反应报告的知识不足。另一方面,尽管药剂师在药物不良反应报告方面经验很少,但他们对药物警戒持积极态度。需要开展教育项目,以增强药剂师在报告过程中的作用,从而对整体患者护理过程产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8c7/4421001/14aa6766d08b/gr1.jpg

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