斯里兰卡医疗保健专业人员药品不良反应报告的知识、态度和实践——一项横断面研究
Knowledge, Attitudes, and Practices of Adverse Drug Reaction Reporting Among Healthcare Professionals in Sri Lanka- A Cross Sectional Study.
作者信息
Thilini Madhushika Menikpurage, Jayasinghe Sudheera Sammanthi, Liyanage Polwaththa Gayani Chandima, Dilan Malinda Wellappuli Arachchige, Abeykoon Palitha
机构信息
University of Ruhuna, Galle, Sri Lanka.
Teaching Hospital, Karapitiya, Sri Lanka.
出版信息
Hosp Pharm. 2024 Feb;59(1):102-109. doi: 10.1177/00185787231194988. Epub 2023 Sep 9.
The objectives of this study were to describe the knowledge, attitudes and practices of Adverse Drug Reactions (ADR) reporting among healthcare professionals at Teaching Hospital Karapitiya (THK), a tertiary care hospital in Sri Lanka. A descriptive cross-sectional study was conducted at THK. The healthcare professionals working in THK who were available during the study period were invited to the study. A self-administered pre-tested questionnaire was administered to the participants. Respondents were evaluated for their knowledge, attitudes and practices related to ADR reporting. The data were analyzed using SPSS statistical software. Of the total 444 respondents, 31% were doctors and 69% were nurses. The majority of respondents, 90% (n = 400) were aware of the term ADR, while 64.8% (n = 288) could correctly define it. Among the respondents, 30.8% (n = 137) knew about the types of ADR and only 15.5% (n = 70) were able to mention a drug that is banned due to ADR correctly. Among the respondents, only 38.7% (n = 172) were aware of a formal process of reporting ADR and, only 35.3% (n = 157) stated that they had seen the ADR reporting form. Further, only 33.7% (n = 150) respondents have recognized ADR during their clinical practice and only a small proportion 18.2% (n = 81) have ever reported an ADR during their practice. Regarding attitudes toward ADR reporting, overall 84.1 (n = 373) had positive attitudes toward ADR reporting, while 13.54% (n = 60) of them stayed neutral and 2.25% (n = 10) had negative attitudes toward ADR reporting. Although the majority were aware of ADR , the knowledge and practices regarding spontaneous reporting of ADR are inadequate. However, most respondents have shown a positive attitude toward ADR reporting. A sincere and sustained effort should be made by concerned bodies to enhance the healthcare professionals' knowledge, attitudes, and practices regarding ADR reporting.
本研究的目的是描述斯里兰卡一家三级护理医院——卡拉皮蒂亚教学医院（THK）的医护人员上报药品不良反应（ADR）的知识、态度和行为。在THK开展了一项描述性横断面研究。邀请了在研究期间有空的THK医护人员参与研究。向参与者发放了一份经过预测试的自填式问卷。对受访者关于ADR上报的知识、态度和行为进行评估。使用SPSS统计软件对数据进行分析。在总共444名受访者中，31%是医生，69%是护士。大多数受访者（90%，n = 400）知晓ADR这个术语，而64.8%（n = 288）能够正确定义它。在受访者中，30.8%（n = 137）了解ADR的类型，只有15.5%（n = 70）能够正确提及一种因ADR而被禁用的药物。在受访者中，只有38.7%（n = 172）知晓上报ADR的正式流程，只有35.3%（n = 157）表示他们见过ADR上报表格。此外，只有33.7%（n = 150）的受访者在临床实践中识别过ADR，只有一小部分18.2%（n = 81）在执业过程中上报过ADR。关于对ADR上报的态度，总体而言，84.1%（n = 373）对ADR上报持积极态度，而其中13.54%（n = 60）保持中立，2.25%（n = 10）对ADR上报持消极态度。尽管大多数人知晓ADR，但关于ADR自发上报的知识和行为仍不足。然而，大多数受访者对ADR上报表现出积极态度。相关机构应做出真诚且持续的努力，以提高医护人员关于ADR上报的知识、态度和行为。
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