病人对他们新开的药物了解多少:一种新的知识索引的应用。

IF 2.9 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Christine Sieling , Cosima Hoetger , Anika Steger , Lena Langer , Eva Ausbüttel , Friederike Geiss , Sebastian Mindt , Nadine Simons , Tobias Esch
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引用次数: 0

摘要

目的:本研究旨在评估患者对新开药物的知识、影响因素和药物相关信息的首选来源。方法:采用横断面研究方法,对某邮购药房的931名顾客进行在线调查。使用一种新的知识指数(KI)评估药物剂量、适应症、给药时间和副作用,检查药物相关知识。评估患者首选的信息来源。采用单因素和多因素回归分析探讨药物相关知识的预测因素。结果:KI评分平均为2.97分(SD = 0.73);当被问及适应症(94.2 %)、剂量(90.0 %)和给药时间(92.3 %)时,大多数参与者回答正确;然而,对药物相关副作用的了解有限(23.1% %)。KI评分的预测依据是认知程度较高、年龄较小和接受过药物治疗计划(所有ps 结论:发现了药物相关副作用的知识差距。与药物有关的知识不足与不坚持用药以及随后的个人和经济成本有关。电子发布的信息可以提供一种经济有效的解决办法。讨论了包括“OpenNotes”在内的实际应用。实践启示:通过“OpenNotes”等平台发布药物计划可以增加患者的理解和参与,并减少不遵守。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What do patients know about their newly prescribed medication: Application of a novel knowledge index

Objective

The present study aimed to evaluate patients’ knowledge about their newly prescribed medications, contributing factors, and preferred sources of medication-related information.

Methods

A cross-sectional study using an online survey was conducted among 931 customers of a mail-order pharmacy. Medication-related knowledge was examined using a novel knowledge index (KI) assessing medication dosage, indication, time of administration, and side effects. Patients’ preferred sources of information were assessed. Univariate and multivariate regression analyses were performed to investigate predictors of medication-related knowledge.

Results

The average KI score was 2.97 (SD = 0.73); most participants answered correctly when asked about indication (94.2 %), dosage (90.0 %), and time of administration (92.3 %); however, knowledge of medication-related side effects was limited (23.1 %). KI scores were predicted by greater perceived informedness, younger age, and having received a medication plan (all ps < 0.05). Preferred sources of medication-related information included physicians, written information, and information obtained via secure electronic patient records.

Conclusion

Knowledge gaps were found for medication-related side effects. Insufficient medication-related knowledge is linked to non-adherence and subsequent personal and economic costs. Electronically issued information could provide a cost-effective solution. Practical applications including “OpenNotes” are discussed.

Practice Implications

Issuing medication plans via platforms such as “OpenNotes” can increase patient understanding and participation, and decrease non-adherence.
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来源期刊
Patient Education and Counseling
Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
11.40%
发文量
384
审稿时长
46 days
期刊介绍: Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.
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