健康素养与用药安全研究进展

Progress in Studies on Effect of Health Literacy on Medication Safety

目的综述健康素养(health literacy)对用药安全(medication Safety)的影响及国内外研究进展。方法以健康素养、用药安全、用药教育、health literacy、medication safe、patient education为检索词,在PubMed和Google资源上检索最近20年来国内外相关资料,归纳总结在临床实践中健康素养对患者用药理解和用药行为的影响,分析健康素养在我国临床实践领域的研究现状和前景。结果较低健康素养的患者不易理解药品用法、不良反应、适应症等药品信息,他们的实际用药更可能与医疗系统记录的信息不符。结论药师可以通过健康素养测量,区别不同健康素养水平的患者,预测患者的用药理解和用药行为,预测患者用药安全隐患,从而提高患者用药教育的效率,促进临床安全用药。

OBJECTIVE To review and summarize the effect of health literacy on medication safety and the progress of recent studies. METHODS Pubmed and Google were searched for related studies conducted in recent 20 years worldwide. The effect of health literacy on patient＇s medication understanding and medication behavior was reviewed. This paper also analyzed the current situa- tion and future prospects of studies on health literacy in clinical practice in China. RESULTS Patients with inadequate health literacy are less likely to understand medication information correctly and their actual medication practice is less likely to match their medication record in health care system. CONCLUSION The assessment of health literacy can help pharmacists discriminate patients with dif- ferent health literacy levels and predict patients＇ medication understanding and medication behavior, which is a useful tool to promote the efficiency of patient education and medication safety.