Takaki Hiroko, Abe Takeru, Hagihara Akihito
a Department of Pharmaceutical Sciences , Kyushu University , Fukuoka , Japan.
b Medical Center , Yokohama City University , Yokohama , Japan.
J Interprof Care. 2017 Sep;31(5):575-582. doi: 10.1080/13561820.2017.1334635. Epub 2017 Jul 28.
Providing information related to medication has many benefits for patients. However, patients' conflicting perceptions about medical information provided by physicians and pharmacists may be associated with their psychological distress regarding treatment and medication. This study investigated associations between patients' perceptions of agreement between physicians and pharmacists about medical information and improvements in their psychological distress. It also clarified the specific relationships of their perceptions with psychological distress. A cross-sectional survey was conducted in Japanese community pharmacy settings. Pharmacists approached 1,500 patients visiting community pharmacies and provided them with questionnaire packages. Patients completed the questionnaires at home and returned them to the researchers by mail. Multivariate logistic regression analysis and signal detection analysis were conducted to examine associations of patients' perceptions of information agreement with improvement in psychological distress. Measures of improvement in worry and anxiety about disease, improvement in worry and anxiety about medication, and improvement in depressive mood were used to assess alleviation of psychological distress. A total of 645 patients returned the questionnaires; 628 contributed to the data. Multivariate logistic regression analyses clarified that patients' perceptions of agreement in information regarding need for medication, methods for adverse drug reaction reduction, adverse drug reaction symptoms, coping with forgetting to take medication, and advice for daily life were significantly associated with improvements in psychological distress. Furthermore, signal detection analysis showed that several combinations of patients' perceptions of agreement between physicians and pharmacists about specific medical information were also significantly associated with improvement in psychological distress. Consistent information provision by physicians and pharmacists could contribute to decreased psychological distress in patients, and consequently to adherence to treatment and taking medication.
为患者提供与药物相关的信息有诸多益处。然而，患者对医生和药剂师提供的医疗信息存在相互矛盾的认知，这可能与他们对治疗和用药的心理困扰有关。本研究调查了患者对医生和药剂师在医疗信息方面达成一致的认知与他们心理困扰改善之间的关联。同时也阐明了这些认知与心理困扰的具体关系。在日本社区药房环境中进行了一项横断面调查。药剂师接触了1500名前往社区药房的患者，并向他们提供问卷包。患者在家中完成问卷，然后通过邮寄方式将问卷返还给研究人员。进行了多变量逻辑回归分析和信号检测分析，以检验患者对信息一致性的认知与心理困扰改善之间的关联。使用对疾病担忧和焦虑的改善、对用药担忧和焦虑的改善以及抑郁情绪的改善等指标来评估心理困扰的缓解情况。共有645名患者返还了问卷；其中628名患者的数据纳入分析。多变量逻辑回归分析表明，患者对用药必要性、减少药物不良反应方法、药物不良反应症状、应对忘记服药以及日常生活建议等方面信息一致性的认知与心理困扰的改善显著相关。此外，信号检测分析显示，患者对医生和药剂师在特定医疗信息方面达成一致的几种认知组合也与心理困扰的改善显著相关。医生和药剂师提供一致的信息有助于减轻患者的心理困扰，从而有助于提高治疗依从性和用药依从性。
