社区药剂师对草药使用的了解及不良反应报告情况
Knowledge of the Use of Herbal Medicines among Community Pharmacists and Reporting Their Adverse Drug Reactions.
作者信息
Tahir Mehak, Upadhyay Dinesh Kumar, Iqbal Muhammad Zahid, Rajan Sawri, Iqbal Muhammad Shahid, Albassam Ahmed A
机构信息
Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, AIMST University, Bedong, Kedah, Malaysia.
Head of Family Medicine, Faculty of Medicine, AIMST University, Bedong, Kedah, Malaysia.
出版信息
J Pharm Bioallied Sci. 2020 Oct-Dec;12(4):436-443. doi: 10.4103/jpbs.JPBS_263_20. Epub 2020 Oct 8.
INTRODUCTION
Community pharmacist's knowledge about the uses of herbal medicines and its adverse drug reactions reporting can contribute in better therapeutic outcomes and patient safety. Objectives: To evaluate community pharmacists' knowledge about the use of herbal medicines and its adverse drug reactions reporting in Kedah state, Malaysia.
METHODS
A cross-sectional, questionnaire-based study was conducted among 103 pharmacists from 74 different community pharmacies to assess their knowledge about the use of herbal medicines and its adverse drug reaction reporting by using a pre-validate knowledge questionnaire consisting of 12 questions related to it. The pharmacists' responses were measured at a 3-point Likert scale (Poor=1, Moderate=2, and Good=3) and data was entered in SPSS version 22. The minimum and maximum possible scores for knowledge questionnaires were 12 and 36 respectively. Quantitative data was analyzed by using One Way ANOVA and Paired t-test whereas Chi-square and Fisher exact test were used for qualitative data analysis. A p-value of less than 0.05 was considered statistically significant for all the analyses.
RESULTS
About 92% of the pharmacist had good knowledge regarding the use of herbal medicines and its adverse drug reaction reporting with a mean knowledge score of 32.88±3.16. One-way ANOVA determined a significant difference of employment setting (p<0.043) and years of experience (<0.008) with mean knowledge scores of Pharmacists. Pharmacists' knowledge was significantly associated with their years of experience with the Chi-square test.
CONCLUSION
Pharmacists exhibit good knowledge regarding the use of herbal medicines and its adverse drug reaction reporting. However, with an increasing trend of herbal medicine use and its adverse drug reaction reporting it recalls the empowerment of experienced pharmacists with training programs in this area for better clinical outcomes.
引言
社区药剂师对草药用途的了解及其药品不良反应报告有助于实现更好的治疗效果和患者安全。目的：评估马来西亚吉打州社区药剂师对草药用途及其药品不良反应报告的了解情况。
方法
对来自74家不同社区药房的103名药剂师进行了一项基于问卷的横断面研究，通过使用一份预先验证的包含12个相关问题的知识问卷来评估他们对草药用途及其药品不良反应报告的了解。药剂师的回答采用3分李克特量表进行衡量（差=1，中等=2，好=3），数据录入SPSS 22版本。知识问卷的最低和最高可能分数分别为12分和36分。定量数据采用单因素方差分析和配对t检验进行分析，而定性数据分析则采用卡方检验和费舍尔精确检验。所有分析中，p值小于0.05被认为具有统计学意义。
结果
约92%的药剂师对草药用途及其药品不良反应报告有良好的了解，平均知识得分为32.88±3.16。单因素方差分析确定就业环境（p<0.043）和工作年限（<0.008）与药剂师的平均知识得分存在显著差异。通过卡方检验发现，药剂师的知识与他们的工作年限显著相关。
结论
药剂师在草药用途及其药品不良反应报告方面表现出良好的知识水平。然而，随着草药使用及其药品不良反应报告呈上升趋势，这提醒我们需要通过该领域的培训项目增强经验丰富的药剂师的能力，以实现更好的临床效果。
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