Improving illiterate patients understanding and adherence to discharge medications.
Improving illiterate patients understanding and adherence to discharge medications.
复制标题
改善文盲患者的理解和依从性排除药物。
DOI：
10.1136/bmjquality.u496.w167
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Fayyaz U
中科院分区：
文献类型：
--
作者：
Clayton M;Syed F;Rashid A;Fayyaz U
遵守出院用药制度对于成功治疗和避免增加耐药性至关重要。患者能否成功地坚持服药取决于许多社会、文化、经济、疾病和治疗相关因素，而这些因素在发展中国家往往更为明显。拉合尔服务医院（巴基斯坦）的轶事证据表明，患者中相对较高的文盲率是依从性差的一个主要因素。基线测量显示，医院所有患者中有48%是文盲，只有5%-12%的文盲患者在出院后能够理解手写的出院处方。不出所料，随访诊所报告的依从性很差。这个质量改进项目通过设计一个新的出院处方形式进行干预，该形式使用图片和符号而不是文字来传达必要的信息。反复调查表明，文盲患者对新形式的理解有较大的相对增加，23%-35%的文盲患者理解新形式。
Adherence to a hospital discharge medication regime is crucial for successful treatment and to avoid increasing rates of drug resistance. A patient's success in adhering to their medication regime is dependent on many social, cultural, economic, illness and therapy-related factors, and these are often more pronounced in the developing world. Anecdotal evidence in Services Hospital, Lahore (Pakistan) suggested that the relatively high levels of illiteracy in the patient population was a major factor in poor adherence. Baseline measurement revealed that 48% of all the hospital's patients were illiterate with just 5%–12% of illiterate patients being able to interpret their handwritten discharge prescription after leaving hospital. Unsurprisingly follow-up clinics reported very poor adherence. This quality improvement project intervened by designing a new discharge prescription proforma which used pictures and symbols rather than words to convey the necessary information. Repeated surveys demonstrated large relative increases in comprehension of the new proformas amongst illiterate patients with between 23%–35% of illiterate patients understanding the new proformas.