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心血管代谢疾病用药患者信息单张:老年人适用情况

Patient Information Leaflets of Drugs Used in Cardiometabolic Disorders: Suitability for Use by Older Persons.

作者信息

Espírito-Santo Margarida, Nascimento Tânia, Pinto Ezequiel, Estêvão M Dulce

机构信息

Escola Superior de Saúde, Universidade do Algarve, Faro, Portugal.

Centro de Estudos e Desenvolvimento em Saúde (CESUAlg), Universidade do Algarve, Faro, Portugal.

出版信息

Port J Public Health. 2023 Feb 15;41(1):12-18. doi: 10.1159/000528664. eCollection 2023 May.

Abstract

In the European Union, all medicines must include appropriate labelling and the respective patient information leaflet (PIL), which is the most reachable source of medicine's information for patients. This document includes a set of information understandable by their potential users and complementary to the information provided by health professionals. The ageing of the Portuguese population raises the need for the appropriateness of medicine's information for older consumers, taking into account their specific needs arising from physiological changes impacting drug action. This project aimed to analyse the content of medicines' PILs, specifically directed at older persons. A sample of medicines was selected considering the 100 active substances more consumed in Portugal by patients with chronic pathologies such as diabetes mellitus, hypertension, and dyslipidaemia. The analysis included readability, legibility, and content (directly and indirectly related to the use of medicines by older persons). A total of 69 PILs were analysed, and it was observed that the information provided about the drugs was included in most of these PILs (95.7%; = 66) but without any specific information for patients belonging to different age groups. Signalling-specific warnings for older persons were only available in less than half of the PILs (46.4%; = 32). The presence of relevant information on the appropriate use of the drug such as the recommended dose was only specified for older persons in 28% ( = 19) of the analysed PILs. The information available in PILs which can be considered as specifically directed to older persons is relatively scarce, even in areas as critical as the instructions for use. Hopefully, these results will contribute to increasing awareness regarding the need to adapt PILs' content to specific consumers and to test them to guarantee that they are adequate for all potential consumers.

摘要

在欧盟,所有药品必须包含适当的标签和相应的患者信息传单(PIL),这是患者获取药品信息最便捷的来源。该文件包含一系列潜在用户能够理解的信息,是对医疗专业人员提供信息的补充。葡萄牙人口老龄化凸显了针对老年消费者提供合适药品信息的必要性,要考虑到生理变化对药物作用产生的特殊需求。本项目旨在分析专门针对老年人的药品PIL的内容。考虑到葡萄牙糖尿病、高血压和血脂异常等慢性病患者消耗最多的100种活性物质,选取了一个药品样本。分析包括可读性、易读性和内容(直接和间接与老年人用药相关)。总共分析了69份PIL,发现大多数PIL(95.7%;n = 66)包含了有关药物的信息,但没有针对不同年龄组患者的任何具体信息。针对老年人的特定警示仅在不到一半的PIL中出现(46.4%;n = 32)。关于药物正确使用的相关信息,如推荐剂量,仅在28%(n = 19)的分析PIL中针对老年人进行了明确说明。即使在使用说明等关键领域,PIL中可被视为专门针对老年人的信息也相对较少。希望这些结果将有助于提高人们对使PIL内容适应特定消费者并对其进行测试以确保其适用于所有潜在消费者的必要性的认识。

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