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从用户角度看药品说明书:它们会被阅读并理解吗?

Medicine package inserts from the users' perspective: are they read and understood?

作者信息

Pizzol Tatiane da Silva Dal, Moraes Cassia Garcia, Arrais Paulo Sérgio Dourado, Bertoldi Andréa Dâmaso, Ramos Luiz Roberto, Farias Mareni Rocha, Oliveira Maria Auxiliadora, Tavares Noemia Urruth Leão, Luiza Vera Lucia, Mengue Sotero Serrate

机构信息

Medicines Production and Control Department, Pharmacy College and Post Graduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul - Porto Alegre, RS, Brazil.

Moinhos de Vento Hospital - Porto Alegre, RS, Brazil.

出版信息

Rev Bras Epidemiol. 2019 Mar 14;22:e190009. doi: 10.1590/1980-549720190009.

Abstract

INTRODUCTION

The written information on medicines has been acknowledged as an important tool for health education.

OBJECTIVE

To analyze the use and understanding of medicine package inserts by users and assess sociodemographic and medical factors associated with their comprehension.

METHOD

Data in this analysis are part of the PNAUM National Survey - a cross-sectional population-based study conducted in Brazil. Descriptive statistics and the Pearson χ2 tests were performed to compare proportions between sociodemographic and medical characteristics, as well as use and understanding of medicine package inserts.

RESULTS

A total of 28.427 individuals responded to questions related to medicine package inserts. From these, 59.6% (95%CI 57.7 - 61.5) said they usually read the inserts, and 98.4% (95%CI 98.0 - 98.8) considered them necessary. Among people who read the medicine package inserts, more than half indicated difficulties with legibility (57.4%; 95%CI 55,2 - 59,6) and readability (54.1%; 95%CI 52.1 - 56.1). People from a lower education level reported greater difficulty in understanding them.

CONCLUSION

The larger portion of the population usually read medicine package inserts. Nevertheless, people have difficulty in reading and understanding them.

摘要

引言

药品的书面信息已被公认为是健康教育的重要工具。

目的

分析使用者对药品说明书的使用和理解情况,并评估与其理解相关的社会人口统计学和医学因素。

方法

本分析中的数据是巴西全国成人健康调查(PNAUM)的一部分——一项基于人群的横断面研究。进行描述性统计和Pearson卡方检验,以比较社会人口统计学和医学特征之间的比例,以及药品说明书的使用和理解情况。

结果

共有28427人回答了与药品说明书相关的问题。其中,59.6%(95%置信区间57.7 - 61.5)表示他们通常会阅读说明书,98.4%(95%置信区间98.0 - 98.8)认为说明书是必要的。在阅读药品说明书的人群中,超过一半的人表示在清晰度(57.4%;95%置信区间55.2 - 59.6)和可读性(54.1%;95%置信区间52.1 - 56.1)方面存在困难。受教育程度较低的人群表示理解说明书的难度更大。

结论

大部分人群通常会阅读药品说明书。然而,人们在阅读和理解说明书方面存在困难。

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