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教育干预对住院医生和教员药物警戒及药品不良反应报告的影响:一项前瞻性对照研究。

Impact of educational interventions on pharmacovigilance and adverse drug reaction reporting by resident doctors and faculty members: A prospective comparative study.

作者信息

Belhekar Mahesh N, Dhorajiwala Shakeeb S, Krishnamurthy B

机构信息

Department of Clinical Pharmacology, Seth GS Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.

出版信息

Perspect Clin Res. 2023 Jan-Mar;14(1):32-38. doi: 10.4103/picr.picr_198_21. Epub 2022 May 27.

Abstract

PURPOSE/AIM: Adverse drug reactions (ADRs) are significantly under-reported worldwide. The aim of this study was to assess the impact of educational interventions (EIs) on knowledge, attitude, and practice (KAP) of hospital resident doctors and faculty members and compare ADR reporting in EI (medical specialties) vs. non-EI (surgical specialties) in these two cadres of doctors.

MATERIALS AND METHODS

This study was a prospective comparative study conducted in two groups (EI and non-EI) in resident doctors and faculty members working at a tertiary care hospital. EI group (medical specialties) were provided with EI to increase awareness about ADR reporting, whereas in non-EI group (surgical specialties), no EI was provided and they served as control. Respondents were asked to fill a pretest questionnaire followed by interactive EI in EI group and posttest questionnaire in both groups. The impact of EI among respondents was evaluated by their response to questionnaire and number of ADRs reported after intervention.

RESULTS

Total ( = 202) respondents were enrolled in the study. The number of resident doctors and faculty members in each group were ( = 101 [50%]). Overall, ( = 100 [49.5%]) were from the medical and ( = 102 [50.5%]) from surgical specialty. Post-EI period, there was statistically significant improvement in KAP domains.

CONCLUSION

Our study serves as credible evidence that through EI; statistically significant improvement in KAP of resident doctors and faculty members in both medical and surgical specialties toward ADR reporting and existing pharmacovigilance system can be achieved.

摘要

目的/目标:药物不良反应(ADR)在全球范围内的报告严重不足。本研究的目的是评估教育干预(EI)对住院医生和教员的知识、态度和实践(KAP)的影响,并比较这两类医生中接受EI(医学专业)与未接受EI(外科专业)的ADR报告情况。

材料与方法

本研究是一项前瞻性比较研究,在一家三级医院工作的住院医生和教员中分为两组(EI组和非EI组)进行。EI组(医学专业)接受了EI以提高对ADR报告的认识,而非EI组(外科专业)未接受EI,作为对照组。要求受访者填写一份预测试问卷,随后EI组进行互动式EI,两组均填写后测试问卷。通过受访者对问卷的回答以及干预后报告的ADR数量来评估EI对受访者的影响。

结果

共有202名受访者参与了本研究。每组住院医生和教员的人数均为101名(占50%)。总体而言,100名(占49.5%)来自医学专业,102名(占50.5%)来自外科专业。EI实施后,KAP各领域有统计学意义上的显著改善。

结论

我们的研究提供了可靠证据,表明通过EI可以在统计学上显著提高医学和外科专业住院医生和教员在ADR报告及现有药物警戒系统方面的KAP。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ef7/10003584/caea8417407d/PCR-14-32-g001.jpg

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