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探讨低收入和中等收入国家的医生对处方实践的看法:混合方法研究
Anjan Khadka1, Sammodavardhana Kaundinnyayana1, Kumar Roka2
1Department of Pharmacology, College of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu, Nepal.
Basic & clinical pharmacology & toxicology
|October 5, 2025
概括
降低或停止药物的过程,在尼泊尔至关重要. 许多医生缺乏意识,但大多数人仍在实践,面临患者抵抗和知识差距等障碍.
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
- 医学教育 医学教育
背景情况:
- 在低收入和中等收入国家 (LMICs) 中,潜在不适当的药物使用正在增加.
- 停止处方对于优化治疗和患者安全至关重要.
- 关于尼泊尔医生对抑郁症的看法和实践的数据有限.
研究的目的:
- 探索尼泊尔医生对抑郁症的认识,理解和实践.
- 在尼泊尔的第三级医院环境中识别抑郁症的促进因素和障碍.
主要方法:
- 连续解释混合方法研究,涉及尼泊尔中部一家教学医院的115名医生.
- 通过结构化调查问卷收集的定量数据,其中包含利克尔特尺度项目.
- 从开放式响应中获得的定性数据以主题分析.
主要成果:
- 只有39.1%的医生听说过抑郁症的处方,尽管77.8%的医生报告说他们实行了这种做法.
- 医生表现出适度的理解,但患者的日常参与率很低 (52.4%).
- 关键障碍包括患者的抵抗力,处方惯性,知识差距和时间限制.
结论:
- 尼泊尔的医生对处方抑郁症有适度的了解,但面临着重大的上下文挑战.
- 在LMICs需要有针对性的教育,机构政策和描述框架.
- 解决障碍对于改善尼泊尔的抑郁症治疗实践和患者的治疗结果至关重要.
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