Medication-Related Needs and Humanistic Impact of Patient-Centered Pharmaceutical Care at University of Gondar Comprehensive Specialized Hospital, North-West Ethiopia.
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引用次数: 1
Abstract
Purpose: To assess patients' medication-related needs and the humanistic impact of patient-centered pharmaceutical care.
Patients and methods: A hospital-based cross-sectional study was conducted using self-administered structured questionnaires from February 4 to 28, 2019, on patients attending ambulatory care for chronic non-communicable diseases at the University of Gondar specialized teaching hospital, North-west Ethiopia. Data were entered to SPSS version 22 for analysis. Descriptive statistics was used to describe the socio-demographic characteristics and medication-related needs of study participants. Independent sample t-test and one-way ANOVA analysis were performed to check for possible associations between dependent and independent variables.
Results: Information about what to do if patients missed doses and the potential side-effects or abnormal conditions caused by the prescribed medicines were not explained for most of the 425 patients studied. The majority of the study participants reported that they felt worried about adverse medicine effects, drug interactions, and long-term medicine use. Patients who were older than 50 or those receiving two or more medications were less satisfied with the effect of their medicine as compared to younger ones and those on monotherapy, respectively. People who were illiterate or had attended only primary schools thought that they received less disease and medicine information from health professionals than people who attended tertiary education.
Conclusion and recommendation: Most of the participants were particularly unhappy with the amount of information received about side-effects and what to do if doses were missed. Special emphasis should be given to patients with a low level of education as they were not satisfied with medicine and disease information obtained from health professionals, experienced more psychological impacts of medicine use, and had poor overall quality-of-life.
目的:评估患者用药需求及以患者为中心的药学服务的人文影响。患者和方法:2019年2月4日至28日,对埃塞俄比亚西北部贡达尔大学专业教学医院慢性非传染性疾病门诊患者进行了一项基于医院的横断面研究,采用自我管理的结构化问卷。数据输入SPSS version 22进行分析。描述性统计用于描述研究参与者的社会人口学特征和药物相关需求。采用独立样本t检验和单因素方差分析检验因变量和自变量之间可能存在的关联。结果:在研究的425名患者中,大多数人都没有解释如果患者错过剂量该怎么办,以及处方药物引起的潜在副作用或异常情况。大多数研究参与者报告说,他们对药物不良反应、药物相互作用和长期用药感到担忧。年龄超过50岁的患者或接受两种或两种以上药物治疗的患者对药物效果的满意度分别低于年轻患者和接受单一治疗的患者。文盲或只上过小学的人认为,与受过高等教育的人相比,他们从卫生专业人员那里获得的疾病和医学信息较少。结论和建议:大多数参与者对收到的关于副作用的信息以及如果错过剂量该怎么办的信息特别不满意。应特别重视受教育程度低的患者,因为他们对从卫生专业人员那里获得的药物和疾病信息不满意,用药的心理影响更大,总体生活质量较差。