Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
School of Nursing, Faculty of Medicine, Shamir Medical Center (Assaf Harofeh), Zerifin, Affiliated to Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel.
Pharmacoepidemiol Drug Saf. 2020 Oct;29(10):1246-1253. doi: 10.1002/pds.5013. Epub 2020 Apr 21.
Adverse drug reactions (ADRs) are a growing important public health problem; however, underreporting of ADRs is very common. The aim of the current study was to explore the effect of an intervention program on the knowledge and attitudes among physicians and nurses regarding ADRs reporting.
A multicentre study consisted of three phases: filling out a questionnaire; an intervention program; filling out the same questionnaire again. The intervention program consisted of posters, lectures, and distant electronic learning. The questionnaire contained questions about personal/professional demographic variables, and statements regarding knowledge and attitudes regarding ADR reporting.
The data revealed that the intervention program significantly elevated the "Objective knowledge" (P < 0.01) and "Practical knowledge" (P < 0.02) score as compared to the control group, while no significant differences were found regarding "Acquired knowledge" (P = 0.14). Seniority (P = 0.01) and experience in internal medicine (P = 0.05) were demonstrated as significant factors determining the knowledge of the staff. Obligation was the main motive for reporting in 80% of participants. After the intervention, no differences were found in the "Attitude related to the motive for reporting" or "Attitude related to the commitment to report", between the two groups. However, "Attitude related to the need to report" score significantly improved after the intervention (P = 0.04).
The intervention program increased knowledge and attitudes regarding ADRs reports. Seniority had the most effect on the influence of the intervention program. The data from this study encourages the necessity to hold ongoing intervention programs in order to improve ADRs reporting rate.
药物不良反应(ADR)是一个日益严重的重要公共卫生问题;然而,ADR 的报告率非常低。本研究的目的是探讨干预方案对医生和护士报告 ADR 的知识和态度的影响。
一项多中心研究包括三个阶段:填写问卷;干预方案;再次填写相同的问卷。干预方案包括海报、讲座和远程电子学习。问卷包含关于个人/专业人口统计学变量的问题,以及关于 ADR 报告的知识和态度的陈述。
数据显示,与对照组相比,干预方案显著提高了“客观知识”(P<0.01)和“实践知识”(P<0.02)得分,而“获得知识”(P=0.14)没有显著差异。资历(P=0.01)和内科经验(P=0.05)被证明是决定员工知识的重要因素。义务是 80%的参与者报告的主要动机。干预后,两组之间“与报告动机相关的态度”或“与报告承诺相关的态度”没有差异。然而,“与报告必要性相关的态度”得分在干预后显著提高(P=0.04)。
干预方案提高了对 ADR 报告的知识和态度。资历对干预方案的影响最大。本研究的数据鼓励有必要开展持续的干预方案,以提高 ADR 报告率。