社区药房中激素避孕药相关问题的检测：结构化问卷在育龄妇女中的应用
Detection of Problems Related to Hormonal Contraceptives in Community Pharmacy: Application of a Structured Questionnaire in Women of Childbearing Age.
作者信息
Sicilia-González Raquel, Abdala-Kuri Susana, Morales-Marrero Chaxiraxi, Peña-Vera Adama, Oliva-Martín Alexis, Dévora-Gutiérrez Sandra
机构信息
Departamento de Medicina Física y Farmacología, Facultad de Farmacia, Universidad de La Laguna, 38200 Tenerife, Spain.
Departamento de Ingeniería Química y Tecnología Farmacéutica, Facultad de Farmacia, Universidad de La Laguna, 38200 Tenerife, Spain.
出版信息
Pharmacy (Basel). 2025 Aug 21;13(4):112. doi: 10.3390/pharmacy13040112.
UNLABELLED
The use of hormonal contraceptives is essential to ensure effective and safe contraception. However, factors such as inadequate prescription, poor adherence, or lack of information can lead to drug-related problems (DRPs) and negative outcomes associated with medication (NOMs).
METHODS
An observational, descriptive, cross-sectional study was conducted between January and June 2024 in two community pharmacies in Tenerife. It included 316 users of hormonal contraceptives over the age of 18. The main instrument was a structured questionnaire, administered through individual interviews conducted in the Personalized Care Area (PCA).
RESULTS
Combined Oral Contraceptives (COCs) were the most frequently used method (72.2%). Adverse reactions were reported by 47.2% of participants, mainly psychiatric disorders (28.1%). Emergency contraception had been used at least once by 43.8% of the respondents. Among COC users, 68.9% reported difficulties with daily adherence, and only 36.7% had adequate knowledge in case of missed doses.
CONCLUSIONS
Community pharmacists may play a key role in reproductive health by providing personalized counselling, referring patients to other levels of care, and promoting the rational and safe use of hormonal contraceptives.
未标注
使用激素避孕药对于确保有效且安全的避孕至关重要。然而，诸如处方不当、依从性差或信息不足等因素可能导致药物相关问题（DRP）以及与用药相关的负面结果（NOM）。
方法
2024年1月至6月在特内里费岛的两家社区药房进行了一项观察性、描述性横断面研究。研究纳入了316名18岁以上的激素避孕药使用者。主要工具是一份结构化问卷，通过在个性化护理区（PCA）进行的个人访谈来实施。
结果
复方口服避孕药（COC）是最常用的方法（72.2%）。47.2%的参与者报告了不良反应，主要是精神障碍（28.1%）。43.8%的受访者至少使用过一次紧急避孕药。在COC使用者中，68.9%报告在日常依从性方面存在困难，只有36.7%的人在漏服药物时有足够的知识。
结论
社区药剂师可通过提供个性化咨询、将患者转诊至其他护理级别以及促进激素避孕药的合理安全使用，在生殖健康中发挥关键作用。
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