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患者对非甾体抗炎药安全用药的了解情况。

Knowledge of patients on safe medication use in relation to nonsteroidal anti-inflammatory drugs.

作者信息

Babelghaith Salmeen D, Alarifi Mohamed N, Wajid Syed, Alhawassi Tariq M, Alqahtani Sara K, Alghadeer Sultan M

机构信息

Clinical Pharmacy Department, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.

Basic Science Department, PSCEMS, King Saud University, Riyadh, Saudi Arabia.

出版信息

Saudi J Anaesth. 2019 Apr-Jun;13(2):106-111. doi: 10.4103/sja.SJA_557_18.

Abstract

INTRODUCTION

Nonsteroidal anti-inflammatory drugs (NSAIDs) are widely prescribed and used medications that are used as analgesic, antipyretic, or anti-inflammatory agents, but have a high risk of adverse effects.

OBJECTIVE

The main purpose of this study is to evaluate the knowledge of patients toward the risks and safe usage of NSAIDs.

METHODS

A descriptive cross-sectional study was conducted among patients who attended orthopedic clinics at King Khalid University Hospital in Riyadh, Saudi Arabia, during December 2017 to February 2018. A self-administered questionnaire comprising three sections [sociodemographic information, patients' knowledge of NSAIDs, and the attitude toward receiving information about NSAIDs' adverse drug reactions (ADRs)] was used. The attitude was measured with a 5-point Likert scale.

RESULTS

The mean duration of NSAIDs usage was 7.3 ± 6.9 years. Only 45% of the respondents used NSAIDs daily, while 38% said they only used NSAIDs as needed. Nearly one-quarter of patients (25.5%) were counseled by a healthcare provider on the risks of NSAIDs. Almost 94% and 90.5% of the study subjects agreed that physicians and pharmacists, respectively, should play an essential role in providing information regarding ADRs to their patients. More than half of the respondents claimed that information about ADRs might lead them to discontinue their medicines. More than one-third of respondents stated that their healthcare setting provided them with insufficient knowledge of ADRs.

CONCLUSION

Counseling of patients may diminish potentially inappropriate use and increase risk awareness. Healthcare providers can improve their role in identifying and counseling patients on NSAIDs.

摘要

引言

非甾体抗炎药(NSAIDs)是广泛处方和使用的药物,用作镇痛药、退热药或抗炎药,但具有较高的不良反应风险。

目的

本研究的主要目的是评估患者对NSAIDs风险和安全使用的了解情况。

方法

2017年12月至2018年2月期间,在沙特阿拉伯利雅得国王哈立德大学医院的骨科诊所就诊的患者中进行了一项描述性横断面研究。使用了一份自我管理的问卷,包括三个部分[社会人口统计学信息、患者对NSAIDs的了解以及对接收NSAIDs药物不良反应(ADR)信息的态度]。态度用5点李克特量表进行测量。

结果

NSAIDs的平均使用时长为7.3±6.9年。只有45%的受访者每天使用NSAIDs,而38%的受访者表示他们仅在需要时使用NSAIDs。近四分之一的患者(25.5%)接受过医疗保健提供者关于NSAIDs风险的咨询。几乎94%和90.5%的研究对象分别认为医生和药剂师在向患者提供ADR信息方面应发挥重要作用。超过一半的受访者声称ADR信息可能会导致他们停药。超过三分之一的受访者表示他们的医疗机构提供给他们的ADR知识不足。

结论

对患者进行咨询可能会减少潜在的不当使用并提高风险意识。医疗保健提供者可以改善他们在识别和咨询使用NSAIDs患者方面的作用。

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