教育干预对2019冠状病毒病（COVID-19）大流行期间护理专业学生药物不良反应报告意识和态度的影响：一项准实验研究

Influence of Educational Intervention on Awareness and Attitude of Nursing Students Towards Adverse Drug Reaction Reporting During Coronavirus Disease 2019 (COVID-19) Pandemic: A Quasi-Experimental Study.

作者信息

Prabath Indumathi, Raja Sangeetha, Navabalan Vivekraj, Marimuthu Kalavalli

机构信息

Department of Pharmacology, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India.

Department of Pharmacology, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.

出版信息

J Pharm Bioallied Sci. 2023 Jul;15(Suppl 1):S625-S629. doi: 10.4103/jpbs.jpbs_8_23. Epub 2023 Jul 5.

DOI:10.4103/jpbs.jpbs_8_23

PMID:37654412

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10466536/

Abstract

BACKGROUND AND OBJECTIVES

Under-reporting of adverse drug reactions (ADRs) is a major concern of the pharmacovigilance program of India and has deteriorated further with the Coronavirus Disease 2019 (COVID-19) pandemic. Imparting the knowledge of pharmacovigilance among nursing students would significantly enhance patient care. Hence, this study was framed to evaluate the effect of an educational intervention on awareness and attitude of ADR reporting among nursing students during the COVID-19 pandemic.

MATERIALS AND METHODS

A quasi-experimental pretest-post-test study was conducted among nursing students of a tertiary care hospital in South India. The students were asked to fill out a validated questionnaire to assess Knowledge, Attitude, and Practice on ADR reporting, before and after the educational intervention. Knowledge and attitude results were analysed using Mc Nemar's test.

RESULTS

A total of 135 nursing students attended the educational intervention and completed pretest and post-test questionnaires. Around 130 (96.3%) and 107 (79.3%) students were aware of pharmacovigilance and ADR monitoring center following the intervention. Median (interquartile range) of knowledge scores before and after the intervention were 3 (2-3) and 5 (3-7), respectively. Overall knowledge score of ADR reporting significantly improved after the intervention. Sixty two (45.9%) students agreed that ADR reporting would enhance patient safety. ADR reporting was practised by 52 (38.5%) participants. Nearly, 107 (79.3%) students were interested to participate in similar pharmacovigilance training programs.

CONCLUSION

Educational intervention in pharmacovigilance improved the cognitive and affective domains of pharmacovigilance in nursing students. Periodic training programs are essential for sustained behavioural change in students.

摘要

背景与目的

药品不良反应（ADR）报告漏报是印度药物警戒计划的一个主要问题，并且在2019年冠状病毒病（COVID-19）大流行期间进一步恶化。在护理专业学生中传授药物警戒知识将显著提高患者护理质量。因此，本研究旨在评估教育干预对COVID-19大流行期间护理专业学生ADR报告意识和态度的影响。

材料与方法

在印度南部一家三级护理医院的护理专业学生中进行了一项准实验性的前测-后测研究。在教育干预前后，要求学生填写一份经过验证的问卷，以评估ADR报告的知识、态度和实践情况。使用Mc Nemar检验分析知识和态度结果。

结果

共有135名护理专业学生参加了教育干预，并完成了前测和后测问卷。干预后，约130名（96.3%）和107名（79.3%）学生了解了药物警戒和ADR监测中心。干预前后知识得分的中位数（四分位间距）分别为3（2-3）和5（3-7）。干预后ADR报告的总体知识得分显著提高。62名（45.9%）学生同意ADR报告将提高患者安全性。52名（38.5%）参与者进行了ADR报告。近107名（79.3%）学生有兴趣参加类似的药物警戒培训项目。