患者对用药教育的知晓和参与情况调查分析

Investigation and analysis of cognition and participation in patient medication education

目的了解患者用药教育(patient medication education,PME)的知晓和参与情况,为患者用药教育的开展提供参考。方法在云南省临沧市9家医院对2668例患者进行PME基本状况调查,并对调查结果进行统计分析。结果共发放患者调查问卷2668份,回收有效问卷1547份,有效回收率为58.0%。结果表明,患者对用药教育的知晓率较低(31.5%);用药教育大部分由医疗机构提供(87.7%),主体为医院药师(70.1%)、医师(67.9%)、护士(62.7%);面对面的用药教育、开展用药教育宣传讲座和播放用药教育宣传片是患者最容易接受的用药教育形式,分别占54.2%、33.7%和29.0%;患者最希望得到药品适应证、可能的不良反应及处理措施和药物使用注意事项、配伍禁忌的用药教育内容,分别占53.3%、50.3%和33.7%;57.1%的患者愿意接受医师、护士提供的用药教育,48.3%的患者愿意接受药师提供的用药教育。结论患者对用药教育的知晓率及接受率较低,但患者参与用药教育的意愿强烈,医疗机构是患者用药教育的保障单位。

Objective:To understand the cognition and participation situation of patient medication education(PME),and to provide a reference for the development of PME.Methods:Totally 2668 patients were selected from 9 hospitals of Yunnan Lincang for a basic situation questionnaire survey of PME.The results were statistically analyzed.Results:A total of 2668 questionnaires were sent out and 1547 valid questionnaires were recovered,with an effective recovery rate of 58.0%.The patients’ awareness rate of PME was low(31.5%).Most of PME was provided by medical institutions(87.7%),including hospital pharmacists(70.1%),doctors(67.9%),and nurses(62.7%).Face to face PME for patients,PME publicity lecture and PME propaganda film were the most acceptable forms for patients,accounting for 54.2%,33.7% and 29.0%,respectively.The most desirable content for patients were drug indications possible adverse reactions and treatment measures and precautions and incompatibility,accounting for 53.3%,50.3% and 33.7%,respectively.In addition,57.1% of the patients were willing to receive PME provided by doctors and nurses,and 48.3% of them were willing to receive PME provided by pharmacists.Conclusion:The rate of patients’ awareness and acceptance of PME is low,but the willingness to participate in PME is strong.Medical institutions are security supplier for PME.