3种新型用药宣教干预方式对妇产科门诊患者合理用药知识认知度和依从性影响的调查分析

Investigation and Analysis on the Effects of 3 New Medication Education Intervention Methods on Patients' Awareness of Rational Drug Use and Compliance in Obstetrics and Gynecology Outpatient Department

目的:为保证医院门诊妇产科患者用药安全、有效提供参考。方法:分别通过制作微信推送消息、视频和宣传单的方式选择我省4家"三甲"医院的部分门诊妇产科患者进行用药宣教干预,并采用问卷调查方法比较干预前后其合理用药知识认知度和依从性的差异。结果:共发放问卷60份,回收有效问卷60份,有效回收率为100%。受访患者对合理用药知识相关的20题在认知度和依从性两方面的选择正确率干预后均较干预前有所提高。各组受访患者的合理用药知识认知度和依从性得分干预后均高于干预前,微信推送消息组[(53.18±11.51)分vs.(88.48±7.12)分,(55.15±11.82)分vs.(86.81±7.69)分]、视频组[(49.50±17.23)分vs.(85.00±11.55)分,(52.00±17.70)分vs.(86.00±6.99)分]、宣传单组[(41.47±9.14)分vs.(77.05±9.36)分,(43.23±10.89)分vs.(78.82±9.11)分]干预前后比较,差异均有统计学意义(P<0.05);各组受访患者的合理用药知识认知度和依从性得分的改善程度之间比较,差异均无统计学意义(P=0.992和P=0.397)。结论:3种新型用药宣教干预方式均能有效提高医院门诊妇产科患者的合理用药知识认知度和依从性,药师可根据患者不同的文化程度、喜好或接受能力选择适宜的用药宣教干预方式。

OBJECTIVE： To provide reference for ensuring safe and effective drug use in obstetrics and gynecology outpatient department. METHODS： Medication education intervention was conducted among some patients in obstetrics and gynecology outpa- tient department from 4 third grade class A hospitals of our province through making Wechat pushing messages, videos and leaflets. The difference of rational drug use knowledge awareness and compliance was compared before and after intervention by question- naire survey. RESULTS ： A total of 60 questionnaires were distributed, and 60 valid questionnaires were collected with effective re- covery rate of 100%. Compared to before intervention, correct rate of 20 questions about the knowledge of rational drug use were improved after intervention in respects of awareness and compliance. The awareness and compliance scores about the knowledge of rational drug use after intervention were higher than before intervention; there was statistical significance in Wechat pushing mes- sage group [（53.18 ± 11.51） vs.（88.48 ± 7.12）, （55.15 ± 11.82）vs.（86.81 ± 7.69）], in video group [（49.50 ± 17.23） vs.（85.00 ± 11.55）, （52.00 ± 17.70）vs.（86.00 ± 6.99）], in leaflets group[（41.47 ± 9.14）vs.（77.05± 9.36）, （43.23 ±10.89）vs.（78.82 ± 9.11）] be- fore and after intervention （P〈0.05）. There was no statistical significance in the improvement of awareness or compliance score among those groups （P=0.992 and P=0.397）. CONCLUSIONS： Three intervention methods can effectively improve the aware- ness and compliance of patients about rational drug use knowledge in obstetrics and gynecology outpatient department. Pharmacists can choose the appropriate medication education intervention based on the patient＇s different educational levels, preferences and ac- ceptability.