Kalikar Mrunalini V, Dakhale Ganesh N, Shrirao Mayur
Department of Pharmacology, Government Medical College, Nagpur, Maharashtra, India.
Medical Student, Government Medical College, Nagpur, Maharashtra, India.
Perspect Clin Res. 2020 Apr-Jun;11(2):92-96. doi: 10.4103/picr.PICR_16_19. Epub 2020 May 6.
(1) To assess the knowledge and attitude of undergraduates about adverse drug reaction (ADR) reporting at a tertiary care teaching hospital. (2) To assess the effect of educational intervention among medical undergraduates on knowledge and attitude about pharmacovigilance (PV).
Cross-sectional, questionnaire-based survey conducted at a tertiary care teaching hospital. Respondents were 192 undergraduate students (2 year). The study instrument was a self-developed, prevalidated semi-structured questionnaire. Participants were given 1 h to complete the questionnaire. After this, a 2 h lecture about PV was taken. Participants were asked to fill the same questionnaire after the educational intervention. Pre- and post-test questionnaire were compared.
There was an overall improvement in all three aspects, i.e., awareness, knowledge, and attitude. Most of the students had knowledge of the meaning of PV and reporting of ADR by doctors. However, there was a significant improvement in the knowledge regarding reporting of ADR by dentist, nurses, and pharmacist. Similarly, students were aware of the fact that ADR with allopathic medicines should be reported, but postintervention, there was improvement in percentage regarding reporting of ADR in the case of herbal and traditional medicine, blood products, and biological and medical device. There was a significant improvement in percentage regarding awareness about process of reporting ADR after exposure to lecture.
There is a need of increasing awareness among the medical students to improve the reporting of ADRs. Adequate consideration needs to be given to the subject of ADRs in the clinical pharmacology and therapeutics curricula in undergraduate medical education.
(1)评估某三级护理教学医院本科学生对药品不良反应(ADR)报告的知识和态度。(2)评估医学本科学生中教育干预对药物警戒(PV)知识和态度的影响。
在某三级护理教学医院进行基于问卷的横断面调查。受访者为192名本科学生(二年级)。研究工具是自行开发、预先验证的半结构化问卷。给参与者1小时来完成问卷。在此之后,进行了一场关于药物警戒的2小时讲座。要求参与者在教育干预后填写相同的问卷。对测试前和测试后的问卷进行比较。
在意识、知识和态度这三个方面都有整体改善。大多数学生了解药物警戒的含义以及医生报告药品不良反应的情况。然而,在牙医、护士和药剂师报告药品不良反应的知识方面有显著改善。同样,学生们知道应该报告西药的药品不良反应,但干预后,在草药和传统药物、血液制品以及生物制品和医疗器械方面报告药品不良反应的百分比有所提高。在接触讲座后,关于报告药品不良反应流程的知晓率百分比有显著提高。
需要提高医学生对改善药品不良反应报告的认识。本科医学教育的临床药理学和治疗学课程中需要充分考虑药品不良反应这一主题。