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医院护士对药物警戒活动的知识、态度和实践:一项多中心横断面调查。

Knowledge, attitude and practices about pharmacovigilance activities among hospital nurses: a multicentre cross-sectional survey.

作者信息

Mahfodz Mira Marina, Siddiqui Sania, Zainal Hadzliana

机构信息

Student, Discipline of Clinical Pharmacy School of Pharmaceutical Sciences, Universiti Sains Malaysia, Malaysia.

Research Assistant, Discipline of Clinical Pharmacy School of Pharmaceutical Sciences, Universiti Sains Malaysia, Malaysia.

出版信息

J Res Nurs. 2024 May;29(3):259-274. doi: 10.1177/17449871241232340. Epub 2024 Jun 13.

Abstract

BACKGROUND

The national pharmacovigilance (PV) system has been established in many countries worldwide following the thalidomide tragedy. Nurses have an important role in recognising and reporting any Adverse Drug Reaction (ADR); however, their role has not been widely explored, particularly in Southeast Asian countries.

AIMS

To assess the knowledge, attitudes and practice (KAP) about PV activities, along with barriers and facilitators that affect ADR reporting among hospital nurses in Malaysia. The present study also explores the relationship between demographic characteristics and predictors of KAP among hospital nurses in Malaysia.

METHODS

A multicentre, questionnaire-based, cross-sectional study was conducted in March-May 2021, among nurses working at tertiary care hospitals in Malaysia.

RESULTS

The mean KAP score of study participants was 57 ± 11. Overall participants had poor ADR knowledge (37.4%), and poor reporting practices (48.9%). Age >30 years (AOR = 2.7 (1.13-6.8),  = 0.02), and working experience of greater than 10 years (AOR = 2.44 (1.08-5.52),   0.03), were significantly associated with good ADR knowledge and reporting practices among study participants.

CONCLUSIONS

In summary, study findings offer valuable insight for developing targeted interventions and formal training to improve nurses' ADR knowledge and reporting practices. Addressing gaps in these areas can enhance patient safety and overall healthcare quality.

摘要

背景

在沙利度胺悲剧发生后,全球许多国家都建立了国家药物警戒(PV)系统。护士在识别和报告任何药物不良反应(ADR)方面发挥着重要作用;然而,她们的作用尚未得到广泛探讨,尤其是在东南亚国家。

目的

评估马来西亚医院护士对药物警戒活动的知识、态度和实践(KAP),以及影响药物不良反应报告的障碍和促进因素。本研究还探讨了马来西亚医院护士的人口统计学特征与KAP预测因素之间的关系。

方法

2021年3月至5月,在马来西亚三级护理医院工作的护士中进行了一项基于问卷的多中心横断面研究。

结果

研究参与者的平均KAP得分为57±11。总体参与者的药物不良反应知识较差(37.4%),报告实践也较差(48.9%)。年龄>30岁(调整后比值比[AOR]=2.7(1.13 - 6.8),P = 0.02)和工作经验超过10年(AOR = 2.44(1.08 - 5.52),P = 0.03)与研究参与者良好的药物不良反应知识和报告实践显著相关。

结论

总之,研究结果为制定有针对性的干预措施和正规培训提供了有价值的见解,以提高护士的药物不良反应知识和报告实践。弥补这些领域的差距可以提高患者安全和整体医疗质量。

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