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印度年轻医护人员对药物警戒的认知不足:一个亟待干预的问题。

Lack of Awareness of Pharmacovigilance among Young Health-care Professionals in India: An Issue Requiring Urgent Intervention.

作者信息

Singh Jagjit, Singh Harmanjit, Rohilla Ravi, Kumar Rajiv, Gautam C S

机构信息

Department of Pharmacology, Government Medical College and Hospital, Chandigarh, India.

Department of Community Medicine, Government Medical College and Hospital, Chandigarh, India.

出版信息

Int J Appl Basic Med Res. 2018 Jul-Sep;8(3):158-163. doi: 10.4103/ijabmr.IJABMR_423_17.

Abstract

BACKGROUND

Young healthcare professionals (HCPs) are the pillar of healthcare system. The objective of the present study was to assess the knowledge, attitude, and practices of young HCPs regarding adverse drug reactions (ADRs) reporting.

METHODS

This cross-sectional questionnaire-based study was conducted on young HCPs in a tertiary care teaching hospital of North India. The study instrument was semi-structured, prevalidated questionnaire. The responses obtained were compared among doctors and nursing professionals.

RESULTS

We obtained response from 84 HCPs (61 doctors and 23 nurses). The mean age of the doctors and nurses was 25.0 ± 2.4 versus 26.3 ± 3.4 years, respectively. No significant difference was observed in questions related to definition of ADR, components of pharmacovigilance (PV), who can report ADRs and medications for which ADRs are to be reported. Only 9.8% doctors and 26.1% nurses were aware of ADR reporting system in India, of which 6 (26%) nurses and none of the doctors were aware of its name. About 16.4% doctors as compared to 61% nurses admitted to have reported an ADR ( < 0.001). The main discouraging factor in ADR reporting was time constraint while lack of knowledge was also highlighted by the HCPs. More nurses as compared to doctors (78.3% vs. 49.2%, = 0.01) were of the opinion that holding continuing medical education/workshop could encourage reporting.

CONCLUSION

There is an urgent need to increase awareness about PV among young HCPs, and adequate interventions should be instituted to encourage PV practices.

摘要

背景

年轻的医疗保健专业人员是医疗保健系统的支柱。本研究的目的是评估年轻医疗保健专业人员在药物不良反应(ADR)报告方面的知识、态度和做法。

方法

这项基于问卷调查的横断面研究是在印度北部一家三级护理教学医院的年轻医疗保健专业人员中进行的。研究工具是半结构化的、经过预验证的问卷。将获得的医生和护理专业人员的回答进行比较。

结果

我们获得了84名医疗保健专业人员(61名医生和23名护士)的回复。医生和护士的平均年龄分别为25.0±2.4岁和26.3±3.4岁。在与ADR定义、药物警戒(PV)组成部分、谁可以报告ADR以及应报告ADR的药物相关的问题上,未观察到显著差异。只有9.8%的医生和26.1%的护士了解印度的ADR报告系统,其中6名(26%)护士知道其名称,而医生中无人知晓。与61%的护士相比,约16.4%的医生承认报告过ADR(<0.001)。ADR报告的主要阻碍因素是时间限制,同时医疗保健专业人员也强调了知识的缺乏。与医生相比,更多护士(78.3%对49.2%,=0.01)认为举办继续医学教育/研讨会可以鼓励报告。

结论

迫切需要提高年轻医疗保健专业人员对药物警戒的认识,并应采取适当干预措施来鼓励药物警戒实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeab/6082015/ac1c38e91db2/IJABMR-8-158-g003.jpg

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