Faculty of Pharmacy, Near East University, Near East Boulevard, P.O. Box: 922022, Nicosia, North Cyprus, Mersin 10, Turkey.
Faculty of Pharmacy, Anadolu University, Eskisehir, Turkey.
Int J Clin Pharm. 2019 Oct;41(5):1272-1281. doi: 10.1007/s11096-019-00882-8. Epub 2019 Jul 16.
Background In order to achieve patient adherence, individuals require different levels of information. Basic and adequate information must be provided by different health care providers to patients. Objective To assess the information level of patients with asthma and chronic obstructive pulmonary disease (COPD) and to determine the source of their information regarding the medicine they use in addition to their satisfaction, inhalation usage techniques and perception of the information providing role of health care professionals. Setting Respiratory disease clinics in Nicosia and Famagusta state hospitals and community pharmacies in North Cyprus. Method A cross-sectional multicentered observational study was carried out in respiratory disease clinics and community pharmacies. Patients' knowledge and healthcare providers' perceptions of their roles were evaluated using "The satisfaction with information about medicines scale". Evaluation of patient's inhalation techniques was performed using a validated checklist. Main outcome measure (a) Patients' knowledge of their medication and satisfaction with the information provided by health care professionals, (b) the prevalence of critical inhalation mistakes, (c) health care professionals' perceptions of their patient counseling practice. Results A total of 110 patients were evaluated, and 6 physicians and 76 pharmacists were recruited for the interview. The health care professionals reported that they talk about the action and the use of medicines with the patients. The standardized average patients' satisfaction score for action and use was 0.35 (± 0.21), whereas for potential side effects, it was 0.26 (± 0.15). Even though 92% of patients believed that they use their inhaler properly, 75% of the patients made at least one critical mistake while using the inhalation demo, which would likely affect the delivery of the medicine to the lungs. Conclusion In spite of health care professionals feeling comfortable with their counseling practices, the majority of patients reported dissatisfaction with the information they provided about medicine, and three out of four patients were making critical mistakes in the use of inhalers. More effort is warranted by health care professionals on patient education to limit critical mistakes.
背景 为了实现患者的依从性，患者需要获得不同程度的信息。基本且充分的信息必须由不同的医疗保健提供者提供给患者。目的 评估哮喘和慢性阻塞性肺疾病（COPD）患者的信息水平，并确定他们除了对药物使用的满意度、吸入使用技术以及对医疗保健专业人员提供信息角色的看法之外，获得药物信息的来源。地点 北塞浦路斯尼科西亚和法马古斯塔州立医院的呼吸疾病诊所和社区药房。方法 在呼吸疾病诊所和社区药房进行了一项横断面多中心观察性研究。使用“药物信息满意度量表”评估患者的知识和医疗保健提供者对其角色的看法。使用经过验证的检查表评估患者的吸入技术。主要观察指标 （a）患者对其药物的了解程度和对医疗保健专业人员提供的信息的满意度，（b）严重吸入错误的发生率，（c）医疗保健专业人员对其患者咨询实践的看法。结果 共评估了 110 名患者，并对 6 名医生和 76 名药剂师进行了访谈。医疗保健专业人员报告说，他们会与患者讨论药物的作用和使用方法。标准化的平均患者对作用和使用的满意度评分为 0.35（±0.21），而对潜在副作用的满意度评分为 0.26（±0.15）。尽管 92%的患者认为他们正确使用了吸入器，但在使用吸入演示时，仍有 75%的患者犯了至少一个严重错误，这可能会影响药物输送到肺部。结论 尽管医疗保健专业人员对他们的咨询实践感到满意，但大多数患者对他们提供的药物信息表示不满，并且四分之三的患者在使用吸入器时犯了严重错误。医疗保健专业人员需要在患者教育方面付出更多努力，以限制严重错误。
