Department of Life Sciences and Health, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
Department of Pharmacy, Section for Pharmaceutics and Social Pharmacy, University of Oslo, Oslo, Norway.
Int J Clin Pharm. 2021 Feb;43(1):144-153. doi: 10.1007/s11096-020-01122-0. Epub 2020 Aug 14.
Background Insufficient transfer of medicines information is a common challenge at discharge from hospital. Following discharge, home dwelling patients are expected to manage their medicines themselves and adequate counselling is an important prerequisite for patient empowerment and self-efficacy for medicines management. Objective The aim was to identify patients' needs for medicines information after discharge from hospital, including the patients' perception and appraisal of the information they received at discharge. Setting The study enrolled patients discharged from three medical wards at a secondary care hospital in Oslo, Norway. Method Patients were included at the hospital, at or close to the day of discharge and qualitative, semi-structured interviews were performed during the first 2 weeks after discharge. Eligible patients were receiving medicines treatment on admission and after discharge, were handling the medicines themselves, and discharged to their own home. Data were collected in 2017. Interviews were analysed with thematic analysis inspired by Systematic Text Condensation. Main outcome measure Patients' perceptions of medicines information. Results In total, 12 patients were interviewed. They were discharged in equal numbers from the three wards, representing both sexes and a broad age range. Patients perceive medicines information as a continuum and not limited to specific encounters, like the discharge conversation. They gain information in several ways; by receiving information from health care professionals, through observations, and by seeking it themselves. Some thought they could have been better informed about adverse reactions and how to manage life while being a medicines user. Others felt they did not want or need more information. Patients employ various strategies for coping with their use of medicines, influencing their self-efficacy towards medicine management. Conclusion Medicines information should focus on empowering the patients throughout the hospital stay and not solely at discharge, taking into account the individual patient's needs for information, preferences and prior knowledge.
出院时药品信息传递不足是一个常见的挑战。出院后，居家患者需要自行管理药品，充分的咨询是患者获得药品管理自主权和自我效能的重要前提。
确定患者出院后对药品信息的需求，包括患者对出院时所获得信息的感知和评价。
本研究纳入了挪威奥斯陆一家二级保健医院的三个内科病房出院的患者。
在患者出院当天或接近出院的日子，在医院对其进行入组，并在出院后 2 周内进行定性、半结构式访谈。纳入标准为入院时和出院后正在接受药物治疗、自行管理药品、出院回家的患者。数据收集于 2017 年进行。访谈采用系统文本浓缩法启发的主题分析进行分析。
患者对药品信息的感知。
共对 12 名患者进行了访谈。他们分别从三个病房出院，代表了不同性别和广泛的年龄范围。患者将药品信息视为一个连续体，而不仅仅是特定的接触，如出院谈话。他们通过多种方式获取信息，包括从医护人员那里获得信息、通过观察获得信息以及自行寻求信息。一些患者认为，他们本可以更好地了解不良反应以及如何在用药的同时管理生活。其他患者则觉得他们不需要或不想获得更多的信息。患者采用各种策略来应对他们的用药，影响他们对药物管理的自我效能。
药品信息应侧重于在整个住院期间为患者赋权，而不仅仅是在出院时，要考虑到患者对信息、偏好和先验知识的个人需求。
