Markotic Filipa, Vrdoljak Davorka, Puljiz Marijana, Puljak Livia
Centre for Clinical Pharmacology, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.
Department of Family Medicine, University of Split School of Medicine, Split.
J Pain Res. 2017 Feb 10;10:365-374. doi: 10.2147/JPR.S123554. eCollection 2017.
One form of self-medication is sharing of medications, defined as borrowing or lending medications in situations where the receiver of these drugs is not the individual to whom the medications were allocated.
To explore experiences and opinions of patients about sharing prescription analgesics, reasons for sharing prescription analgesics, the way in which patients choose to share those medications, their awareness of risk regarding sharing prescription analgesics, and how they estimated the potential risk.
This qualitative study was conducted by focus group discussions with 40 participants led by a moderator trained in focus group methodology using a semi-structured moderator guide. Adults aged ≥18 years who had received a prescription for an analgesic at least once in a lifetime were included. Six separate focus groups were conducted to discuss participants' perception of risks associated with sharing of prescription analgesics among patients. Additionally, participants filled out two questionnaires on demographic data, their own behavior regarding sharing analgesics, and their attitudes about risks associated with sharing prescription analgesics.
In a questionnaire, 55% of the participants indicated that they personally shared prescription analgesics, while subsequently in the focus group discussions, 76% confessed to such behavior. Participants recognized certain risks related to sharing of prescription analgesics, mentioned a number of reasons for engaging in such behavior, and indicated certain positive aspects of such behavior. Forty-five percent of the participants indicated that sharing prescription analgesics is riskier than sharing nonprescription analgesics.
There is a prevalent attitude among participants that sharing prescription analgesics is a positive behavior, where potential benefits outweigh risks.
自我药疗的一种形式是药物共享，即指在药物并非分配给接受者本人的情况下借用药或出借药物。
探讨患者关于共享处方镇痛药的经历和看法、共享处方镇痛药的原因、患者选择共享这些药物的方式、他们对共享处方镇痛药风险的认识以及他们如何评估潜在风险。
本定性研究通过焦点小组讨论进行，由一名接受过焦点小组方法培训的主持人带领40名参与者，使用半结构化主持人指南。纳入一生中至少有一次接受过镇痛药处方的18岁及以上成年人。进行了6个单独的焦点小组讨论，以探讨参与者对患者之间共享处方镇痛药相关风险的认知。此外，参与者填写了两份关于人口统计学数据、他们自己共享镇痛药的行为以及他们对共享处方镇痛药相关风险态度的问卷。
在一份问卷中，55%的参与者表示他们个人曾共享过处方镇痛药，而在随后的焦点小组讨论中，76%的人承认有此类行为。参与者认识到与共享处方镇痛药相关的某些风险，提到了一些参与此类行为的原因，并指出了此类行为的某些积极方面。45%的参与者表示共享处方镇痛药比共享非处方镇痛药风险更大。
参与者中普遍存在一种态度，即共享处方镇痛药是一种积极行为，潜在益处大于风险。
