OLVG Hospital, Department of Clinical Pharmacy, Amsterdam, The Netherlands.
UPPER, Division of Pharmacoepidemiology and Clinical Pharmacology, Faculty of Science, Utrecht Institute of Sciences, Utrecht University, Utrecht, The Netherlands.
Res Social Adm Pharm. 2018 Feb;14(2):146-152. doi: 10.1016/j.sapharm.2017.01.006. Epub 2017 Apr 7.
The need for information for patients and caregivers at the point of hospital discharge is paramount and potentially extensive.
The objective of this study was to assess patients' informational needs at hospital discharge, patients' recall of medication changes implemented in the hospital and patients' medication related problems experienced one week after hospital discharge.
The study was conducted in a teaching hospital where patients received structured discharge counseling. Patients were interviewed at hospital discharge regarding their informational needs. One week post-discharge, patients were interviewed by phone to assess any changes in informational needs, their recall regarding in-hospital medication changes and the medication related problems. Descriptive analysis and logistic regression were used to address study objectives.
The 124 patients in the study regarded the following topics as most relevant for counseling: what the medicine is for (57%), side effects (52%), drug-drug interactions (45%), action of the drug (37%) and reimbursement (31%). In 9% of patients the informational needs changed post-discharge, e.g. the topic side effects increased in importance. Forty-nine percent could recall whether and which medication was changed during hospitalization. Medication-related problems and side effects were reported by respectively 27% and 15% of patients, whereas only 7% contacted their doctor or pharmacist.
Patients' informational needs are very individual and can change post-discharge. Despite structured counseling, only half of the patients were able to recall the medication changes implemented in the hospital. Furthermore, patients reported several problems for which they did not consult a healthcare provider. This insight could help in smoothing the transition from hospital to the primary care setting.
患者和照护者在出院时对信息的需求至关重要，且需求范围可能很广。
本研究旨在评估患者在出院时的信息需求、患者对出院时在医院实施的药物变更的记忆以及患者在出院后一周经历的与药物相关的问题。
该研究在一家教学医院进行，患者接受了结构化的出院咨询。在出院时，患者接受了关于其信息需求的访谈。在出院后一周，通过电话对患者进行访谈，以评估信息需求的任何变化、他们对住院期间药物变更的记忆以及与药物相关的问题。采用描述性分析和逻辑回归来解决研究目标。
在研究中的 124 名患者中，以下主题被认为是咨询最相关的内容：药物的用途（57%）、副作用（52%）、药物相互作用（45%）、药物作用（37%）和报销（31%）。在 9%的患者中，出院后的信息需求发生了变化，例如，副作用的主题变得更加重要。49%的患者可以回忆起是否以及在住院期间改变了哪些药物。分别有 27%和 15%的患者报告了与药物相关的问题和副作用，而只有 7%的患者联系了他们的医生或药剂师。
患者的信息需求非常个体化，并且可能在出院后发生变化。尽管进行了结构化的咨询，但只有一半的患者能够回忆起在医院实施的药物变更。此外，患者报告了一些他们没有咨询医疗保健提供者的问题。这一见解可以帮助缓解从医院到初级保健环境的过渡。
