University Technology of Sydney, Graduate School of Health-Pharmacy, Level 4, Building 7, 67 Thomas Street, Ultimo, New South Wales, 2007, Australia.
Department of Pharmacy, Westmead Hospital, Westmead, New South Wales, Australia.
Ther Innov Regul Sci. 2020 May;54(3):605-612. doi: 10.1007/s43441-019-00093-3. Epub 2020 Jan 6.
Warfarin is a high-risk medicine, and older persons (those aged 65 years and older) who take this therapy need medicines information about it that is at a level which is both understandable and comprehensive to improve their knowledge about the risks and benefits of warfarin therapy. Therefore, the primary objective of this study was to report patient feedback on a Warfarin Action Plan (WAP) (leaflet) and identify patients' preferences regarding its content and format. The secondary objective was to canvass in-depth feedback regarding the participants' information needs and current information-seeking practices with respect to warfarin therapy.
In an Australian General Practice medical centre setting, a qualitative study comprising 34 individual interviews was conducted. Emergent themes were elicited via a qualitative analysis using manual inductive coding.
The majority of participants gave very positive feedback on the WAP leaflet, stating that it was a useful and concise resource. In canvasing this feedback, 4 themes emerged: (1) the need for information about warfarin therapy, (2) reliance on doctors and/or pharmacists for information, (3) the need for information to normalize their daily life, and (4) patients and carers acting on the new information.
The WAP is a simple and well-received tool that meets the knowledge and education needs about warfarin therapy for older people and their carers.
华法林是一种高风险药物,服用这种药物的老年人(65 岁及以上)需要了解相关信息,这些信息应通俗易懂且全面,以提高他们对接受华法林治疗的风险和获益的认识。因此,本研究的主要目的是报告患者对华法林行动计划(WAP)(宣传册)的反馈,并确定患者对其内容和格式的偏好。次要目的是深入了解患者对接受华法林治疗的信息需求和当前信息检索实践。
在澳大利亚全科医疗中心,采用定性研究方法,对 34 名参与者进行了 34 次个人访谈。通过手动归纳编码的定性分析,得出新出现的主题。
大多数参与者对华法林行动计划宣传册给予了非常积极的反馈,称其是一个有用且简明扼要的资源。在收集这些反馈时,出现了 4 个主题:(1)对接受华法林治疗相关信息的需求,(2)依赖医生和/或药剂师获取信息,(3)需要获取信息以使其日常生活正常化,(4)患者及其护理人员根据新信息采取行动。
WAP 是一种简单且深受欢迎的工具,可满足老年人及其护理人员对华法林治疗相关知识和教育的需求。