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瑞典阿拉伯语移民女性用药信息与用药情况的经验及观点:一项多阶段焦点小组研究

Experiences and Perspectives of Medication Information and Use Among Arabic-Speaking Migrant Women in Sweden: A Multistage Focus Group Study.

作者信息

Al Musawi Ahmed, Axelsson Malin, Eriksson Tommy, Rämgård Margareta

机构信息

Department of Biomedical Science and Biofilm - Research Centre for Biointerfaces, Malmö University, Malmö, Skåne, Sweden.

Department of Care Science, Malmö University, Malmö, Skåne, Sweden.

出版信息

Patient Prefer Adherence. 2025 Feb 8;19:305-318. doi: 10.2147/PPA.S498953. eCollection 2025.

Abstract

PURPOSE

Medication non-adherence is a global public health issue influenced by various factors, including the quality and comprehensiveness of medication information provided to patients. Migrants, particularly women, face unique healthcare and societal challenges in their new home countries. This study aims to explore Arabic-speaking migrant women's experiences and perspectives on medication information and use.

METHODS

This study was part of the Equal Health program, a health promotion initiative established in socially vulnerable areas to address health inequities. Arabic-speaking women aged 40-80 years with chronic illnesses participated in multistage focus group sessions exploring their experiences with medication information from healthcare, medication use, and perspectives on necessary improvements in medication information at hospital discharge. The sessions were conducted in Arabic, audio-recorded, transcribed verbatim, and translated into Swedish for analysis. Data were analyzed using Braun and Clark's six-phase reflexive thematic analysis.

RESULTS

Four multistage focus group sessions with 15 participants were conducted. The analysis generated three themes: , and . Participants reported inadequate medication information from physicians, particularly at the time of discharge from the hospital, and described instances of intentional and unintentional non-adherence. Suggestions for improvement included providing written medication information at discharge in their native language, using interpreters, and including a current medication list detailing overall medication information and potential drug interactions.

CONCLUSION

This study highlights inadequate medication information provision to Arabic-speaking migrant women, which may impact medication use and pose patient safety risks. Although the adherence patterns of the study subjects resembled those of the general population, unique barriers require additional healthcare support. This study can inform healthcare practices and establish a foundation for further research on medication information and use in this group, including comparisons with native-born individuals.

摘要

目的

用药依从性不佳是一个全球公共卫生问题,受多种因素影响,包括向患者提供的用药信息的质量和全面性。移民,尤其是女性,在其新的居住国面临独特的医疗保健和社会挑战。本研究旨在探讨讲阿拉伯语的移民女性在用药信息和用药方面的经历及观点。

方法

本研究是平等健康项目的一部分,该项目是在社会弱势群体地区开展的一项健康促进倡议,旨在解决健康不平等问题。年龄在40 - 80岁之间患有慢性病的讲阿拉伯语的女性参加了多阶段焦点小组会议,探讨她们在医疗保健方面获得用药信息的经历、用药情况以及对出院时用药信息必要改进的看法。会议以阿拉伯语进行,录音后逐字转录,并翻译成瑞典语进行分析。数据采用布劳恩和克拉克的六阶段反思性主题分析法进行分析。

结果

进行了4次多阶段焦点小组会议,有15名参与者。分析产生了三个主题:[此处原文缺失主题内容]。参与者报告称医生提供的用药信息不足,尤其是在出院时,并描述了有意和无意不依从的情况。改进建议包括在出院时以她们的母语提供书面用药信息、使用口译员以及提供一份详细列出总体用药信息和潜在药物相互作用的当前用药清单。

结论

本研究强调对讲阿拉伯语的移民女性用药信息提供不足,这可能影响用药情况并带来患者安全风险。尽管研究对象的依从模式与一般人群相似,但独特的障碍需要额外的医疗支持。本研究可为医疗实践提供参考,并为进一步研究该群体的用药信息和用药情况奠定基础,包括与本地出生个体的比较。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5071/11818829/5a7237471f12/PPA-19-305-g0001.jpg

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