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尼日利亚西北部部分医院药房门诊用药知识及用药咨询满意度的探索性研究

An exploratory study of outpatient medication knowledge and satisfaction with medication counselling at selected hospital pharmacies in Northwestern Nigeria.

作者信息

Abdu-Aguye Samirah N, Labaran Kamilu S, Danjuma Nuhu M, Mohammed Shafiu

机构信息

Department of Clinical Pharmacy & Pharmacy Practice, Ahmadu Bello University Zaria, Zaria, Kaduna State, Nigeria.

Department of Pharmacology & Therapeutics, Ahmadu Bello University Zaria, Zaria, Kaduna State, Nigeria.

出版信息

PLoS One. 2022 Apr 8;17(4):e0266723. doi: 10.1371/journal.pone.0266723. eCollection 2022.

DOI:10.1371/journal.pone.0266723
PMID:35395046
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8992974/
Abstract

BACKGROUND

Medication counselling is an important activity that improves patient therapeutic outcomes. After this activity has been carried out, patients should be satisfied with counselling, and possess adequate knowledge about their medications.

OBJECTIVES

To describe outpatient/caregiver medication knowledge and satisfaction with medication counselling at the main outpatient pharmacies of eight public secondary and tertiary hospitals located in two states in Northwestern Nigeria.

METHODS

Exit interviews were conducted from December 2019 to March 2020 with randomly sampled patients/caregivers who had just been dispensed one or more prescription medications from the main pharmacies of the hospitals. The questionnaire used contained 31 questions in three sections. The first section collected demographic information. The second section assessed respondents' experiences and overall satisfaction with the counselling they had received. The last section evaluated respondents' knowledge of one randomly selected prescription medication that had been dispensed to them. Data collected were coded and analyzed to generate descriptive statistics. To explore associations between respondent characteristics and overall satisfaction, non-parametric tests were used, and statistical significance set at p<0.05.

RESULTS

A total of 684 patients/caregivers were interviewed. Majority of respondents agreed that the time spent (97.1%) and quantity of information (99.1%) provided during counselling was adequate. However, over 60% of them also agreed that dispensers did not assess their understanding of information provided or invite them to ask questions. Despite this, their average overall satisfaction with counselling on a 10-point scale was 8.6 ± 1.6. Over 90% of them also correctly identified the routes and frequency of administration of the prescribed medication selected for the knowledge assessment. Although, more than 60% of respondents did not know the duration of therapy or names of these medications.

CONCLUSION

Respondents' satisfaction with medication counselling was fairly high even though they did not seem to know much about their medication.

摘要

背景

用药咨询是一项能改善患者治疗效果的重要活动。开展此项活动后,患者应满意咨询服务,并对其所用药物有足够的了解。

目的

描述尼日利亚西北部两个州八家公立二级和三级医院主要门诊药房的门诊患者/护理人员的用药知识以及对用药咨询的满意度。

方法

于2019年12月至2020年3月对从医院主要药房刚领取一种或多种处方药的患者/护理人员进行随机抽样并进行出院访谈。所使用的问卷包含三个部分的31个问题。第一部分收集人口统计学信息。第二部分评估受访者对所接受咨询的体验和总体满意度。最后一部分评估受访者对一种随机抽取的已配发给他们的处方药的了解情况。对收集到的数据进行编码和分析以生成描述性统计数据。为探究受访者特征与总体满意度之间的关联,使用了非参数检验,设定统计学显著性为p<0.05。

结果

共访谈了684名患者/护理人员。大多数受访者认为咨询期间花费的时间(97.1%)和提供的信息量(99.1%)足够。然而,超过60%的受访者也认为药剂师没有评估他们对所提供信息的理解,也没有邀请他们提问。尽管如此,他们对咨询的平均总体满意度在10分制中为8.6±1.6。超过90%的受访者还正确识别了为知识评估所选处方药的给药途径和频率。不过,超过60%的受访者不知道治疗持续时间或这些药物的名称。

结论

尽管受访者似乎对其所用药物了解不多,但他们对用药咨询的满意度相当高。