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[基层医疗水平医生中药物不良反应检测的近似方法]

[Approximation to the detection of drug adverse reactions among doctors at the primary health care level].

作者信息

Valero Martín A, Jiménez Luque J M, Ranz F B, Lora N, Pérula de Torres L A, Serrano Varo P

机构信息

Unidad Docente de Medicina Familiar y Comunitaria de Córdoba.

出版信息

Aten Primaria. 1993 Feb 1;11(2):76-80.

PMID:8452995
Abstract

OBJECTIVE

To try to find the pattern of adverse reactions to drugs (ARD), as observed by Primary Care doctors, and the opinion of these on control of drugs.

DESIGN

This was a descriptive, crossover study carried out by means of a postal questionnaire filled in by the interviewee. SITE. The Province of Córdoba.

PARTICIPANTS

Primary Care doctors in the province of Córdoba.

MAIN MEASUREMENTS AND RESULTS

403 doctors (rate of reply: 31.6%) answered the questionnaire. The most commonly observed ARDs are those connected with digestive conditions (dyspepsia, 19.4%; diarrhea, 10.9%; nausea and vomiting, 10.4%), followed by dermatological complaints. 36.6% of doctors suspect at least one ARD a week. The therapeutic groups most frequently responsible are analgesic/antiinflammatory drugs, followed by antibiotics/chemotherapies. 49.7% were ignorant of the "Yellow Card" programme, although 86.6% showed a favorable attitude to being notified.

CONCLUSIONS

The level of awareness of the possibility of ARD among the doctors polled is high. The "Yellow Card" programme is still little known. It is well worth circulating information, especially in view of Primary Care professionals' high level of motivation.

摘要

目的

试图找出基层医疗医生所观察到的药物不良反应模式,以及他们对药物管控的看法。

设计

这是一项描述性交叉研究,通过受访者填写的邮政问卷进行。地点:科尔多瓦省。

参与者

科尔多瓦省的基层医疗医生。

主要测量指标及结果

403名医生(回复率:31.6%)回答了问卷。最常观察到的药物不良反应与消化系统疾病有关(消化不良,19.4%;腹泻,10.9%;恶心和呕吐,10.4%),其次是皮肤方面的不适。36.6%的医生每周至少怀疑有一例药物不良反应。最常引发不良反应的治疗药物类别是止痛/抗炎药,其次是抗生素/化疗药物。49.7%的医生对“黄卡”计划一无所知,尽管86.6%的医生对收到通知持积极态度。

结论

在接受调查的医生中,对药物不良反应可能性的认知水平较高。“黄卡”计划仍然鲜为人知。鉴于基层医疗专业人员的积极性很高,传播相关信息非常值得。

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