Ramia Elsy, Zeenny Rony M, Hallit Souheil, Salameh Pascale
Department of Pharmacy Practice, School of Pharmacy, Lebanese American University, P.O. Box 36, Byblos, Lebanon.
Department of Pharmacy, American University of Beirut Medical Center, Riad El Solh, P.O. Box 11-236, Beirut, 1107-2020, Lebanon.
Int J Clin Pharm. 2017 Oct;39(5):1084-1094. doi: 10.1007/s11096-017-0517-4. Epub 2017 Jul 29.
Background Patients' knowledge of their medications play a pivotal role in their disease management. Objective Assess the knowledge and practices of Lebanese outpatients regarding their own medication use and risks. Setting Four hundred and sixty community pharmacies across Lebanon. Method It was a cross-sectional study performed from March through May 2016 among Lebanese outpatients, using a self-administered questionnaire. Descriptive statistics were used to calculate all participants' responses. The association between categorical variables were evaluated using Pearson χ test or Fisher's exact test. Binary logistic regressions were performed to identify factors associated with medication patients' knowledge and interest. Main outcome measure Ability of the patients to identify own medications' elements: name, strength, dosage regimen, indication, and adverse drug reactions. Results Our study comprised 921 patients, with around 16% taking ≥5 medications/day. Around 56% of our patients showed sub-optimal medication knowledge. Patients' higher educational level, number of chronic diseases, and patient physician interaction were associated with higher medication knowledge. Many patients admitted not discussing their medications each time they visit their physicians (38.7%); not reading the leaflet of each medication they take (61.2%); and not regularly asking their pharmacist about the potential interactions of OTC drugs with prescribed medications (53.9%). Conclusion This study showed suboptimal medication-related knowledge, and suboptimal patient's interactions with primary care givers. Our findings serve as a platform for healthcare providers to understand patients' needs and educate them about medication use and risks.
背景 患者对自身药物的了解在疾病管理中起着关键作用。目的 评估黎巴嫩门诊患者对自身用药及风险的了解情况和行为。地点 黎巴嫩全国460家社区药房。方法 这是一项于2016年3月至5月对黎巴嫩门诊患者开展的横断面研究,采用自填式问卷。使用描述性统计分析所有参与者的回答。采用Pearson χ检验或Fisher精确检验评估分类变量之间的关联。进行二元逻辑回归以确定与患者用药知识和兴趣相关的因素。主要观察指标 患者识别自身药物成分的能力:名称、规格、用药方案、适应证和药物不良反应。结果 我们的研究纳入了921名患者,约16%的患者每天服用≥5种药物。约56%的患者用药知识欠佳。患者较高的教育水平、慢性病数量以及患者与医生的互动与较高的用药知识相关。许多患者承认每次就诊时未与医生讨论其用药情况(38.7%);未阅读所服用每种药物的说明书(61.2%);未定期向药剂师询问非处方药与处方药之间的潜在相互作用(53.9%)。结论 本研究显示患者用药相关知识欠佳,且患者与初级保健提供者的互动也欠佳。我们的研究结果为医疗保健提供者了解患者需求并就用药及风险对他们进行教育提供了一个平台。