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患者对药物剂型的偏好:这会影响药物依从性吗?一项在社区药房开展的横断面研究。

Patients' Preference for Pharmaceutical Dosage Forms: Does It Affect Medication Adherence? A Cross-Sectional Study in Community Pharmacies.

作者信息

Limenh Liknaw Workie, Tessema Tewodros Ayalew, Simegn Wudneh, Ayenew Wondim, Bayleyegn Zemenu Wube, Sendekie Ashenafi Kibret, Chanie Gashaw Sisay, Fenta Eneyew Talie, Beyna Alemante Tafese, Kasahun Asmamaw Emagn

机构信息

Department of Pharmaceutics, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Department of Social and Administrative Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Patient Prefer Adherence. 2024 Mar 26;18:753-766. doi: 10.2147/PPA.S456117. eCollection 2024.

Abstract

BACKGROUND

Dosage forms (DF), which are primarily divided into solid, semisolid, liquid, and gaseous, are among the different factors that influence drug adherence. Thus, the purpose of this study was to evaluate how patients' preferences for pharmaceutical DF affected their adherence to medication in community pharmacies in Gondar town.

METHODS

A cross-sectional study on community pharmacies was carried out from June 25 to July 27, 2023. The statistical package for social sciences, version 26, was used for data analysis. Factors associated with patient medication discontinuation were found using both bivariate and multivariate logistic regressions.

RESULTS

According to our study, the majority of respondents (42.4%) preferred tablet DF. Most respondents (63.9%) DF preference was affected by the size of the medication, in which small-sized were most preferable (59.6%). The oral route of administration was the most preferable (71.2%). The majority of the respondents (59.9%) had a history of discontinuation of medicines. Being male (AOR=2.21, 95% CI: 1.29, 3.79), living in rural areas (AOR=1.98, 95% CI: 1.03, 3.83), types of DF (AOR=4.59, 95% CI: 1.28, 16.52), high frequency of administration (AOR=2.22, 95% CI: 1.08, 4.57), high cost of medication (AOR=3.09, 95% CI: 1.69, 5.68), getting some improvement from illness (AOR=3.29, 95% CI: 1.10, 9.87), and high number of drugs (AOR=3.29, 95% CI: 1.67, 13.85) were significantly associated with medication discontinuation.

CONCLUSION

Our findings showed that tablet dosage forms, oral routes of administration, and once-daily taking of medicines were the most preferred by our respondents. Being male, living in rural areas, types of DF, high frequency of administration, high cost of medication, getting some improvement from illness, and high number of drugs were significantly associated with medication discontinuation. This provides an insight into what to consider when prescribing medicine to enhance patients' adherence and overall therapeutic outcomes.

摘要

背景

剂型(DF)主要分为固体、半固体、液体和气态,是影响药物依从性的不同因素之一。因此,本研究的目的是评估贡德尔镇社区药房中患者对药物剂型的偏好如何影响他们的用药依从性。

方法

于2023年6月25日至7月27日对社区药房进行了一项横断面研究。使用社会科学统计软件包第26版进行数据分析。通过双变量和多变量逻辑回归分析找出与患者停药相关的因素。

结果

根据我们的研究,大多数受访者(42.4%)更喜欢片剂剂型。大多数受访者(63.9%)对剂型的偏好受药物大小影响,其中小尺寸药物最受欢迎(59.6%)。口服给药途径最受欢迎(71.2%)。大多数受访者(59.9%)有停药史。男性(调整后比值比[AOR]=2.21,95%置信区间[CI]:1.29,3.79)、居住在农村地区(AOR=1.98,95%CI:1.03,3.83)、剂型类型(AOR=4.59,95%CI:1.28,16.52)、给药频率高(AOR=2.22,95%CI:1.08,4.57)、药物成本高(AOR=3.09,95%CI:1.69,5.68)、病情有所改善(AOR=3.29,95%CI:1.10,9.87)以及药物数量多(AOR=3.29,95%CI:1.67,13.85)与停药显著相关。

结论

我们的研究结果表明,片剂剂型、口服给药途径和每日一次服药是我们的受访者最喜欢的。男性、居住在农村地区、剂型类型、给药频率高、药物成本高、病情有所改善以及药物数量多与停药显著相关。这为开药时应考虑哪些因素以提高患者依从性和总体治疗效果提供了见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a215/10981379/1cd0c719b98a/PPA-18-753-g0001.jpg

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