埃塞俄比亚西部安博综合医院门诊药房患者的配药知识及相关因素
Exit-Knowledge About Dispensed Medications and Associated Factors Among Patients Attending the Outpatient Pharmacy of Ambo General Hospital, Western Ethiopia.
作者信息
Eticha Endalkachew Mekonnen, Gemechu Workineh Diriba
机构信息
Department of Pharmacy, Ambo University, Ambo, Oromia, Ethiopia.
School of Medicine, Jigjiga University, Jigjiga, Somali, Ethiopia.
出版信息
Patient Prefer Adherence. 2021 Jan 6;15:1-8. doi: 10.2147/PPA.S286700. eCollection 2021.
BACKGROUND
Insufficient knowledge of patients about their dispensed medications may result in inappropriate use of medication which can lead to treatment failure and poor therapeutic outcome.
PURPOSE
This study aimed to determine the exit-knowledge level and its determinants among patients attending outpatient pharmacy of the Ambo General Hospital.
PATIENTS AND METHODS
Hospital-based cross-sectional study was conducted on 400 study participants who visited the outpatient pharmacy in Ambo General Hospital from October to December 2019. Face-to-face interview was conducted using structured questionnaires to assess the exit-knowledge of the patients about their dispensed medication at the pharmacy exit. A binary logistic regression was employed to determine factors associated with the exit-knowledge. The association was statistically significant at 95% of confidence interval with a p-value less than 0.05.
RESULTS
A total of 400 patients participated in the study with a 100% response rate. Of the total, 222 (55.5%) patients had sufficient exit-knowledge about their dispensed medication. Patients in the age group of 19-29 (AOR=3.1; 95% CI (1.7-5.6) and 49 -59 (AOR = 3.7; 95% CI (2.3-6.0)) had greater exit-knowledge than the elderly participants (>60 years). Participants who reported the comfort of the waiting area was not suitable had lower odds of sufficient exit-knowledge (AOR= 0.7; 95% CI (0.2-3.0)) in comparison to those who reported a suitable waiting area. Lower odds of sufficient exit-knowledge (AOR=0.4; 95% CI (0.3-0.7)) was determined among those who responded fairly clarity of the dispensers guidance in comparison with those reported clear guidance. The gender and the residence of the participants were also had a significant association with the exit-knowledge level.
CONCLUSION
Modest number of the patients had sufficient exit-knowledge of their dispensed medication. Age, gender, residence, perceived comfort of the waiting area and perceived clarity of the pharmacists' guidances were significantly associated with the exit-knowledge.
背景
患者对所配药物的了解不足可能导致用药不当，进而导致治疗失败和治疗效果不佳。
目的
本研究旨在确定安博综合医院门诊药房患者的离院知识水平及其决定因素。
患者与方法
于2019年10月至12月对400名到安博综合医院门诊药房就诊的研究参与者进行了基于医院的横断面研究。在药房出口处，使用结构化问卷进行面对面访谈，以评估患者对所配药物的离院知识。采用二元逻辑回归确定与离院知识相关的因素。在95%置信区间，p值小于0.05时，该关联具有统计学意义。
结果
共有400名患者参与研究，应答率为100%。其中，222名（55.5%）患者对所配药物有足够的离院知识。19 - 29岁年龄组的患者（调整后比值比[AOR]=3.1；95%置信区间[CI](1.7 - 5.6)）和49 - 59岁年龄组的患者（AOR = 3.7；95% CI(2.3 - 6.0)）比老年参与者（>60岁）有更高的离院知识。与报告候诊区合适的参与者相比，报告候诊区不舒服的参与者有足够离院知识的几率较低（AOR= 0.7；95% CI(0.2 - 3.0)）。与报告指导清晰的参与者相比，应答药剂师指导清晰度一般的参与者有足够离院知识的几率较低（AOR=0.4；95% CI(0.3 - 0.7)）。参与者的性别和居住地也与离院知识水平有显著关联。
结论
只有适度数量的患者对所配药物有足够的离院知识。年龄、性别、居住地、对候诊区舒适度的感知以及对药剂师指导清晰度的感知与离院知识显著相关。
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