Lead Pharmacist, Women's Services, Royal Infirmary of Edinburgh, NHS Lothian University Hospitals Division, Edinburgh, UK
Pharmacy Technician, Women's Services, Royal Infirmary of Edinburgh, NHS Lothian University Hospitals Division, Edinburgh, UK.
Eur J Hosp Pharm. 2023 Sep;30(5):279-283. doi: 10.1136/ejhpharm-2021-002903. Epub 2021 Dec 1.
To assess the impact of self-administration of medicines (facilitated by a midwife formulary) on postnatal women's knowledge of certain post-delivery medications, awareness of the Green Bag Scheme, factors contributing to constipation, pain satisfaction, adherence, and time released to midwives plus feedback from these women and their midwives.
The study was conducted in consented postnatal women, who self-administered medications from their bedside lockers. The mode of delivery and parity were recorded. Data were compared in women who self-administered to those who did not. Midwives used our established midwife formulary to write their essential unprescribed medications. Direct interview questionnaires were used to obtain their knowledge on chosen post-delivery medicines, pain satisfaction, the Green Bag Scheme and factors contributing to constipation. Regular medicines counts were used to check adherence. Midwives' time not administering these self-administered medications was estimated. Self-reported questionnaires were used to obtain feedback from participants and midwives. Responses were analysed proportionately and where appropriate by simple statistics.
Women (n=203) who self-administered were compared with those (n=401) who did not. Greater medicines' knowledge and better (96% vs 79%) pain satisfaction were found in self-administering women. Knowledge of each contributing factor to constipation varied. Mode of delivery and parity had no impact on these outcomes. Adherence seemed high 96% (195/203). Awareness of the Green Bag Scheme was poor (66/604). Most women, 94% (191/203) found the service helpful and 89% (178/200) would take part again. At least 224 hours were released to midwives by these self-administering women. 164/203 (81%) midwives felt the scheme was beneficial.
Self-administering women had better pain satisfaction, medication knowledge and adherence. The need to improve engagement in the Green Bag Scheme was flagged. This service, supported by use of a midwife formulary, can release time to midwives to do other tasks including care for women with more complex issues. A business case for this service is under review.
评估产妇自行给药（通过助产士处方集提供便利）对产后女性对某些产后药物的知识、对绿袋计划的认识、导致便秘的因素、疼痛满意度、遵医嘱情况以及向助产士反馈的影响，同时了解这些女性及其助产士的反馈。
本研究纳入了同意参与的产后女性，她们从床边的储物柜中自行给药。记录分娩方式和产次。比较了自行给药的女性和未自行给药的女性的数据。助产士使用我们已建立的助产士处方集为她们开具非处方基本药物。通过直接访谈问卷，了解她们对所选产后药物的知识、疼痛满意度、绿袋计划以及导致便秘的因素。定期药物计数检查以评估依从性。估计助产士不管理这些自我管理药物的时间。使用自我报告的问卷从参与者和助产士处获取反馈。按比例分析反应，在适当情况下使用简单统计。
比较了 203 名自行给药的女性和 401 名未自行给药的女性。自行给药的女性药物知识更丰富，疼痛满意度更高（96% 比 79%）。对每个导致便秘的因素的了解各不相同。分娩方式和产次对这些结果没有影响。依从性似乎很高（96%，195/203）。对绿袋计划的认识很差（66/604）。大多数女性（94%，191/203）认为这项服务有帮助，89%（178/200）会再次参与。这些自行给药的女性至少为助产士释放了 224 小时的时间。203 名助产士中有 164 名（81%）认为该计划有益。
自行给药的女性疼痛满意度、药物知识和依从性更好。需要提高对绿袋计划的参与度。这项服务，由助产士处方集支持，可以为助产士释放时间，让他们从事其他任务，包括照顾有更复杂问题的女性。正在对该服务的经济效益进行评估。
