患者在日常生活中仍面临哪些与药物相关的问题？——药房柜台的定性分析
What Are the Drug-Related Problems Still Faced by Patients in Daily Life?-A Qualitative Analysis at the Pharmacy Counter.
作者信息
Kaae Susanne, Hedegaard Ulla, Andersen Armin, Loon Ellen Van, Crutzen Stijn, Taxis Katka, Jacobsen Ramune
机构信息
Department of Pharmacy, Faculty of Health and Medical Sciences, University of Copenhagen, 1172 København, Denmark.
Department of Health Research, Faculty of Health, University of Southern Denmark, 5230 Odense, Denmark.
出版信息
Pharmacy (Basel). 2023 Aug 3;11(4):124. doi: 10.3390/pharmacy11040124.
BACKGROUND
Drug-related problems (DRPs) affect many patients. Many activities in general practice, hospitals, and community pharmacies have been initiated to tackle DRPs. However, recent studies exploring what DRP patients are still facing in their daily lives are scarce.
METHODS
Danish pharmacy staff registered DRPs in prescription encounters to understand what DRPs patients are still experiencing in daily life. They noted short descriptions of what happened in the encounter that qualified the incident as a DRP. The descriptions were subjected to an inductive content analysis.
RESULTS
A wide range of DRPs that impacted patients' daily lives practically and healthwise were identified. In total, eighteen percent of patients with prescriptions had a DRP. Three overall stages of DRPs were identified: challenges in receiving the medications, not knowing how or why to take the medications, and not experiencing satisfactory effects. Patients were emotionally affected by these problems.
CONCLUSIONS
DRPs are still widespread in patients' daily lives and influence their well-being. The identified DRPs illustrated the complexity of obtaining medications to work as intended and demonstrate that health professionals must take even the basics of medication intake much more seriously.
背景
药物相关问题（DRPs）影响着许多患者。在全科医疗、医院和社区药房已经开展了许多活动来解决药物相关问题。然而，最近关于DRP患者在日常生活中仍然面临哪些问题的研究却很少。
方法
丹麦药房工作人员在处方问诊中记录药物相关问题，以了解患者在日常生活中仍经历哪些药物相关问题。他们记录了问诊中发生的、将该事件认定为药物相关问题的简短描述。这些描述进行了归纳性内容分析。
结果
识别出了一系列在实际生活和健康方面影响患者日常生活的药物相关问题。总体而言，18%的处方患者存在药物相关问题。确定了药物相关问题的三个总体阶段：在获取药物方面存在挑战、不知道如何或为何服用药物、以及未体验到满意的效果。患者在情感上受到这些问题的影响。
结论
药物相关问题在患者日常生活中仍然普遍存在，并影响他们的健康。所识别出的药物相关问题说明了使药物按预期发挥作用的复杂性，并表明卫生专业人员必须更加认真地对待药物服用的基本问题。
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