Alhomoud Farah Kais
Department of Pharmacy Practice, College of Clinical Pharmacy, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Saudi Pharm J. 2020 Sep;28(9):1084-1092. doi: 10.1016/j.jsps.2020.07.009. Epub 2020 Aug 3.
In the previous literature, patients' perceptions of medication consultation provided by pharmacists was found to poor, depending upon various factors, which may lead to poor compliance with medication instructions and, therefore, poor health outcomes. In the Kingdom of Saudi Arabia (KSA), this specific area has been overlooked to date, so this study aims to examine patients' perceptions of medication counselling and the factors that influence their likelihood of participating in medication counselling as well as determine the predictors of patients' likelihood to take part in medication counselling delivered by pharmacists in KSA.
A cross-sectional survey was conducted involving people over 18 years of age, who had purchased or collected medicine for their own use from community and/or hospital pharmacies within the past two years and who lived in Saudi Arabia. The data were analysed using IBM SPSS Statistics version 24. Descriptive statistics were applied to each item as well as linear regression and Pearson's correlation.
Five hundred and eleven participants (male (n = 101), female (n = 410), the majority of whom were aged 18-24-years-old) were included. Almost an equal number of participants had accessed either community (CP) (n = 228: 45%) or hospital pharmacies (HP) (n = 283: 55%) within the past two years in regards to their condition and/or medication. The perceived susceptibility construct had weak positive correlations with all of the constructs being measured (r < 0.3). Perceived barriers had a weak negative relationship with likelihood (r < 0.3), which means that, as the perceived barriers increase, the perceived benefits and future likelihood to participate in medication counselling decrease. Linear regression analysis found that age (β = -0.06; P =˃0.05), gender (β = 0.14; P =˃0.05), education level (β = -0.01; P =˃0.05) and type of pharmacies accessed (β = -0.05; P =˃0.05) were non-significant predictors of the participants' likelihood of participating in medication counselling.
In order to improve the medication consultation provided by pharmacists and, therefore, enhance the patients' experience and care, it is important to understand the public's views, concerns and demands regarding medication consultation, in order to provide the proper interventions and serve as a platform for developing a plan of action for good pharmacy practice.
在以往的文献中,发现患者对药剂师提供的用药咨询的认知较差,这取决于各种因素,这可能导致对用药说明的依从性差,进而导致健康状况不佳。在沙特阿拉伯王国(KSA),这一特定领域迄今为止一直被忽视,因此本研究旨在调查患者对用药咨询的认知以及影响他们参与用药咨询可能性的因素,并确定沙特阿拉伯患者参与药剂师提供的用药咨询可能性的预测因素。
进行了一项横断面调查,涉及18岁以上、在过去两年内从社区和/或医院药房购买或领取过自用药品且居住在沙特阿拉伯的人群。使用IBM SPSS Statistics 24版对数据进行分析。对每个项目应用描述性统计以及线性回归和Pearson相关性分析。
纳入了511名参与者(男性(n = 101),女性(n = 410),其中大多数年龄在18 - 24岁)。在过去两年中,就其病情和/或用药情况而言,几乎相同数量的参与者曾前往社区药房(CP)(n = 228:45%)或医院药房(HP)(n = 283:55%)。感知易感性结构与所有被测量的结构呈弱正相关(r < 0.3)。感知障碍与可能性呈弱负相关(r < 0.3),这意味着随着感知障碍的增加,感知益处和未来参与用药咨询的可能性会降低。线性回归分析发现,年龄(β = -0.06;P > 0.05)、性别(β = 0.14;P > 0.05)、教育水平(β = -0.01;P > 0.05)和访问的药房类型(β = -0.05;P > 0.05)不是参与者参与用药咨询可能性的显著预测因素。
为了改善药剂师提供的用药咨询,从而提升患者的体验和护理质量,了解公众对用药咨询的看法、担忧和需求非常重要,以便提供适当的干预措施,并作为制定良好药学实践行动计划的平台。