Medication education of acutely hospitalized older patients
Medication education of acutely hospitalized older patients
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DOI：
10.1046/j.1525-1497.1999.11038.x
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发表时间：
1999-10-01
影响因子：
5.7
通讯作者：
Naglie, G
中科院分区：
文献类型：
--
作者：
Alibhai, SMH;Han, RK;Naglie, G
目的：确定为老年患者提供药物教育所花费的时间、药物教育对患者知识和满意度的影响以及提供药物教育的障碍。设计：对出院后48小时内的患者进行电话调查，并对医生和药剂师进行直接调查。65岁及以上的患者定期服用至少一种药物。测量：患者人口统计学资料，药物使用，接受或提供药物教育的时间，以及满意度评分。主要结果：平均年龄为77.1岁的47名受访者报告说，医生平均花费10.5分钟（范围，0-60分钟）和药剂师平均花费5.3分钟（范围，0-40分钟）提供药物教育。51%的人报告没有接受过医生或药剂师的教育，只有30%的人报告接受过书面药物说明。受访者普遍对他们的教育感到满意。医生确定了一个或多个障碍，提供教育的51%的时间和药剂师80%。缺乏时间是医生确定的最常见障碍（18%），但药剂师认为缺乏出院计划通知（41%）和缺乏时间（39%）是主要障碍。受访者提出了许多用药错误，并不知道他们的medication.CONCLUSIONS：虽然老年住院患者很少接受药物教育或书面信息，并提出了许多用药错误与不用药教育，约有一半的医生认为没有障碍，提供教育。
OBJECTIVES: To determine the amount of time spent providing medication education to older patients, the impact of medication education on patients' knowledge and satisfaction, and barriers to providing medication education.DESIGN: Telephone survey of patients within 48 hours of hospital discharge and direct survey of physicians and pharmacists.SETTING: Internal medicine ward in a tertiary care teaching hospital.PARTICIPANTS: Patients 65 years of age and over regularly taking at least one medication.MEASUREMENTS: Patient demographics, medication use, time spent receiving or providing medication education, and satisfaction scores.MAIN RESULTS: Forty-seven respondents with a mean age of 77.1 years reported that physicians spent a mean of 10.5 minutes (range, 0-60 minutes) and pharmacists spent a mean of 5.3 minutes (range, 0-40 minutes) providing medication education. Fifty-one percent reported receiving no education from either physician or pharmacist, and only 30% reported receiving written medication instructions. Respondents were generally quite satisfied with their education. Physicians identified one or more barriers to providing education 51% of the time and pharmacists 80%. Lack of time was the most common barrier (18%) identified by physicians, but pharmacists cited lack of notification of discharge plans (41%) and lack of time (39%) as the main barriers. Respondents made many medication errors and knew little about their medications.CONCLUSIONS: Although older hospitalized patients received little medication education or written information and made many medication errors with and without medication education, approximately one half of physicians perceived no barriers to providing education.