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教育干预对日本一家癌症研究所药物不良反应报告的影响:一项问卷调查研究。

Effect of Educational Interventions on Adverse Drug Reaction Reporting in a Cancer Institute in Japan: A Questionnaire Study.

作者信息

Tsuchiya Masami, Esashi Akihisa, Obara Taku, Inooka Kyoko, Mano Nariyasu, Takamura Chizuko

机构信息

Miyagi Cancer Center, Natori, Miyagi, Japan.

Tohoku University Graduate School of Pharmaceutical Sciences, Sendai, Miyagi, Japan.

出版信息

Hosp Pharm. 2019 Apr;54(2):93-99. doi: 10.1177/0018578718769242. Epub 2018 Apr 13.

Abstract

Limited data regarding knowledge and factors related to understanding the adverse drug reaction (ADR) reporting system of health care professionals are available in Japan. : The objective of this study was to identify factors related to understanding the ADR reporting system in Miyagi Cancer Center and to find ways to increase the number and quality of ADR reports. : Self-administered questionnaire surveys were administered before and after the educational meeting among health care professionals who were working in our hospital during the study period. Subanalyses restricted to nurses were also performed. Understanding ADR reporting system among healthcare professionals. : The percentage of respondents who understood the ADR reporting system in the questionnaire after the educational meeting was significantly higher than that in the questionnaire before the educational meeting. In the questionnaire after the educational meeting, multivariate logistic regression analysis found that having over 30 years of practical experience (odds ratio [OR], 3.852; 95% confidence interval [CI], 1.228-12.081 for 20-29 years, 7.695; 1.650-35.881 for over 30 years), being a physician (8.071; 1.923-33.878), being a pharmacist (18.357; 3.847-87.585), and participating in the educational meeting (5.111; 1.700-15.365) were factors associated with understanding the ADR reporting system. Multivariate logistic regression analysis of the questionnaire results before the educational meeting among nurses showed that working at outpatient departments (8.330; 3.008-23.069) was significantly and independently associated with understanding the ADR reporting system. : The present study demonstrated that many years of practical experience, profession (physicians, pharmacists), and educational interventions were associated with good understanding of the ADR reporting system among health care professionals.

摘要

在日本,关于医护人员对药物不良反应(ADR)报告系统的认知及相关因素的数据有限。本研究的目的是确定宫城县癌症中心医护人员对ADR报告系统的认知相关因素,并找到增加ADR报告数量和质量的方法。在研究期间,对我院在职医护人员在教育会议前后进行了自填式问卷调查。还对护士进行了亚组分析。医护人员对ADR报告系统的认知情况。教育会议后问卷中理解ADR报告系统的受访者比例显著高于教育会议前问卷中的比例。在教育会议后的问卷中,多因素逻辑回归分析发现,有超过30年实践经验(优势比[OR],3.852;95%置信区间[CI],20 - 29年为1.228 - 12.081,超过30年为7.695;1.650 - 35.881)、是医生(8.071;1.923 - 33.878)、是药剂师(18.357;3.847 - 87.585)以及参加教育会议(5.111;1.700 - 15.365)是与理解ADR报告系统相关的因素。对护士教育会议前问卷结果的多因素逻辑回归分析表明,在门诊工作(8.330;3.008 - 23.069)与理解ADR报告系统显著且独立相关。本研究表明,多年的实践经验、职业(医生、药剂师)和教育干预与医护人员对ADR报告系统的良好理解相关。

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