Pongpunna Supawinee, Pratipanawatr Thongchai, Jarernsiripornkul Narumol
Division of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Khon Kaen University, Khon Kaen, 40002, Thailand.
Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.
Int J Clin Pharm. 2019 Feb;41(1):141-150. doi: 10.1007/s11096-018-0748-z. Epub 2018 Nov 16.
Background Patient information leaflets are important sources of medicine information. Regulations of patient information leaflet provision varies among country. Little is known regarding patients' behavior and expectation on use of patient information leaflets. Objectives To explore patients' use of either package inserts or patient information leaflets and to survey patients' expectations and needs on use of patient information leaflets and their associated factors. Setting Two university hospitals in Thailand. Methods Cross-sectional study using self-administered questionnaires distributed to outpatients over a 3-month period. Participants were selected through systematic random sampling. Logistic regression was used for data analysis. Main outcome measure Patient use of medicine information. Visual Analogue Scale scores for patient needs and their expectation of knowledge gains from using patient information leaflets. Results The response rate was 77.0%. Most respondents had received package inserts (91.3%) with 59.4% reporting that they sometimes read them. While most respondents had not previously known about patient information leaflets (75.9%), 97.3% reported that patient information leaflets would be useful. Respondents scored their needs and expected knowledge gains after reading patient information leaflets as 9.68 ± 0.97 and 9.64 ± 0.99, respectively. Previous experience with package inserts was associated with increased patient need scores (p = 0.002) and higher expected knowledge gains from use of patient information leaflets (p = 0.037). In addition, patients who had not previously known about patient information leaflets had higher expectations of knowledge gains (p = 0.016). Conclusion Overall, patients showed good behavior on reading package inserts. Although many patients were not previously aware of patient information leaflets, they realized the importance. Hence, patient information leaflets should be developed and provided to Thai patients.
背景 患者信息单页是药物信息的重要来源。各国关于提供患者信息单页的规定各不相同。对于患者使用患者信息单页的行为和期望知之甚少。目的 探讨患者对药品说明书或患者信息单页的使用情况，并调查患者对使用患者信息单页的期望、需求及其相关因素。地点 泰国的两家大学医院。方法 采用自填式问卷进行横断面研究，在3个月内分发给门诊患者。通过系统随机抽样选择参与者。采用逻辑回归进行数据分析。主要观察指标 患者对药物信息的使用情况。患者需求的视觉模拟量表得分以及他们对使用患者信息单页获得知识的期望。结果 回复率为77.0%。大多数受访者收到过药品说明书（91.3%），其中59.4%的人表示有时会阅读。虽然大多数受访者此前并不了解患者信息单页（75.9%），但97.3%的人表示患者信息单页会有用。受访者将阅读患者信息单页后的需求和预期知识收获分别评为9.68±0.97和9.64±0.99。以前使用药品说明书的经历与患者需求得分增加（p = 0.002）以及使用患者信息单页获得更高预期知识收获相关（p = 0.037）。此外，此前不了解患者信息单页的患者对知识收获的期望更高（p = 0.016）。结论 总体而言，患者在阅读药品说明书方面表现良好。虽然许多患者此前并不知晓患者信息单页，但他们意识到了其重要性。因此，应开发患者信息单页并提供给泰国患者。
