AlShehri Waleed, Almotairi Mohammed, Alshakhs Hasan, Orfali Razan
Pharmacy, King Fahad Medical City, Riyadh, SAU.
Clinical Pharmacy Department, King Fahad Medical City, Riyadh, SAU.
Cureus. 2022 May 25;14(5):e25322. doi: 10.7759/cureus.25322. eCollection 2022 May.
Background In palliative care, therapeutic benefit and desired health outcome might be affected by non-adherence to medications, especially among patients with advanced illnesses, such as cancer. The consequences of non-adherence to medications could include poor health outcomes, recurrent admissions, medication waste, as well as increased morbidity and mortality. The aim of this study was to measure the level of medication adherence in palliative care patients visiting the outpatient clinic at King Fahad Medical City. Methods Inclusion criteria comprised all palliative care patients visiting the outpatient clinic in King Fahad Medical City. Medication adherence was assessed among the participants using the Morisky Medication Adherence Scale (MMAS). Data analysis was conducted using SPSS and GraphPad Prism. Results A total of 84 responses were recorded. Among the respondents, 58.3% were female. The most common underlying diseases among participants were breast cancer. Of the 84 participants, 59 (70.2%) patients reported good adherence, while 25 (29.7%) reported poor adherence. Conclusion Non-adherence to medications among palliative care patients is a significant public health problem. Results indicated that the overall level of medication adherence in palliative care patients was moderate to good. Further studies are required to design new techniques for increasing medication adherence in palliative care patients.
背景 在姑息治疗中,不遵医嘱用药可能会影响治疗效果和预期的健康结果,尤其是在患有晚期疾病(如癌症)的患者中。不遵医嘱用药的后果可能包括健康状况不佳、反复入院、药物浪费以及发病率和死亡率增加。本研究的目的是测量在法赫德国王医疗城门诊就诊的姑息治疗患者的用药依从性水平。方法 纳入标准包括所有在法赫德国王医疗城门诊就诊的姑息治疗患者。使用莫利斯基用药依从性量表(MMAS)对参与者的用药依从性进行评估。使用SPSS和GraphPad Prism进行数据分析。结果 共记录了84份回复。在受访者中,58.3%为女性。参与者中最常见的基础疾病是乳腺癌。在84名参与者中,有59名(70.2%)患者报告依从性良好,而25名(29.7%)报告依从性差。结论 姑息治疗患者不遵医嘱用药是一个重大的公共卫生问题。结果表明,姑息治疗患者的总体用药依从性水平为中等至良好。需要进一步研究以设计提高姑息治疗患者用药依从性的新技术。