患者对药物的适用情况的了解 - - 范围审查
Cille Bülow1, Stine Søndersted Clausen2, Patrick Lundholm Thøgersen3
1Department of Clinical Pharmacology, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark. cille.buelow.01@regionh.dk.
BMC health services research
|October 7, 2024
概括
患者对药物药物知识的了解很少. 这一综述强调了缺乏标准化的方法来评估患者对药物目的的理解,从而导致各种各样的和无与伦比的结果.
科学领域:
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
背景情况:
- 患者对药物指示知识不足与不适当的药物使用和不良事件有关.
- 关于患者理解为什么他们服用药物的现有研究是分散的.
研究的目的:
- 系统地绘制和综合患者对其处方药物指示知识的证据.
- 确定用于评估患者对药物指示知识的方法.
主要方法:
- 在多个数据库 (MEDLINE,Embase,CINAHL,PsychInfo,Cochrane Library) 进行了全面的文献搜索,截至2022年6月16日.
- 两位独立审查员对研究进行了选,并提取了研究设计,评估方法的数据,并报告了患者的知识.
- 包括来自33个国家的99项研究,涉及42,377名参与者.
主要成果:
- 观察到研究方法和报告患者知识的显著异质性.
- 评估药物指示知识的问题的措辞有很大差异 (25种不同的方式).
- 报告的正确知识在19%至87%之间,没有明确的测量或报告标准.
结论:
- 没有确立的科学标准来评估患者对药物指示的知识.
- 有必要建立方法论上的共识,以便在研究中进行可靠的比较.
- 需要进一步的研究来将患者的知识与治疗质量和结果联系起来.
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