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[关于公共药物配药中非常规剂型的健康素养和患者依从性的药学咨询——匈牙利社区药房问卷调查。]

[Pharmaceutical counseling of non-conventional dosage forms concerning the health-literacy and the patient adherence in public medication dispensing -Questionnaire surveys in Hungarian community pharmacies.].

作者信息

Somogyi O, Zelko R

出版信息

Acta Pharm Hung. 2016;86(3):113-127.

PMID:29489082
Abstract

Although the non-conventional dosage forms (e.g. modified release per oral systems or transdermal patches) have more significant advantages than other conventional dosage forms, the pa- tients have to apply them correctly in their home medicine using to reach the effective and safe therapy. A guideline of relevant application instructions contribute to development of an effective pharmaceutical counseling in community pharmacies. The counseling and advices can improve the patients' knowledge concerning application rules of different new dosage forms (health- literacy) with patient adherence. Finally it will result more effective and safer therapies. The aim of our Hungarian questionnaire surveys was to explore the patients' drug application habits or application errors and improve special verbal counseling of mentioned non-conventional dosage forms in community pharmacies. Understandable patient information leaflets were developed about application rules and besides the levels of patients' reading comprehension was evaluated in case of the leaflet of medicinal patches. The results show that a properly developed text is useful for the majority of patients but they need the verbal explanation as well, moreover there is a demand for the verbal counseling in community pharmacies. The most common application errors were explored and the most effective instructions or application rules were collected for the pharmacists and patients concerning the modified release tablets or capsules and transdermal patches.

摘要

尽管非常规剂型(如口服缓释系统或透皮贴剂)比其他传统剂型具有更显著的优势,但患者必须在家中正确使用这些剂型才能实现有效且安全的治疗。相关应用说明指南有助于社区药房开展有效的药学咨询。这种咨询和建议可以提高患者对不同新剂型应用规则的了解(健康素养),并增强患者的依从性。最终将带来更有效、更安全的治疗效果。我们在匈牙利进行问卷调查的目的是探究患者的用药习惯或用药错误,并改进社区药房中针对上述非常规剂型的特殊口头咨询。我们制定了关于应用规则的通俗易懂的患者信息手册,此外还针对药用贴剂手册评估了患者的阅读理解水平。结果表明,一份精心编写的文本对大多数患者有用,但他们也需要口头解释,而且社区药房对口头咨询有需求。我们探究了最常见的用药错误,并为药剂师和患者收集了关于缓释片剂或胶囊以及透皮贴剂最有效的使用说明或应用规则。

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