HEALTHCARE PROVIDERS’ KNOWLEDGE TOWARDS MEDICATION USE IN BREASTFEEDING: AN INTERVENTIONAL STUDY

Nurul Izzaty Ramli
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Abstract

Purpose: Most of postpartum women have to take at least one medication; so safety of medication needs to be considered when prescribing and dispensing the medication to them. In 2017, 11% of 815 questions received by Pharmacy Drug Information Services at seven clinics in Dungun were related to medication use in breastfeeding. Thus, this study was carried out to evaluate attitude of healthcare providers (HCPs) and to investigate the effect of knowledge about medication use in breastfeeding among HCPs; pre and post educational intervention.  Method: An interventional study was conducted among medical officers, assistant medical officers, pharmacists and pharmacist assistants from seven clinics in district of Dungun, Malaysia. The questionnaires were distributed during pre and post-intervention period. The interventions in this study were continuous medical education (CME) and booklet regarding medication use for breastfeeding women. Data were entered and analyzed using Statistical Package for Social Studies, (SPSS) and presented as frequencies, means, and standard deviations. Result: A total of 50 HCPs were enrolled in this study and over 20% of them advised mother to discontinue breastfeeding whenever she had to take any medication. The knowledge of HCPs about medication use in breastfeeding women was significantly improved (Z= -5.917, p<0.001) after the educational intervention.  Conclusion: CME and simplified booklet tend to have positive impact on the knowledge of HCPs regarding medication use in breastfeeding.
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医疗保健提供者对母乳喂养药物使用的认识:一项干预性研究
目的:大多数产后妇女必须服用至少一种药物;因此,在给他们开处方和配药时,需要考虑药物的安全性。2017年,Dungun 7家诊所的药房药物信息服务收到的815个问题中,有11%与母乳喂养中的药物使用有关。因此,本研究旨在评估医护人员(HCPs)的态度,并探讨医护人员在母乳喂养中药物使用知识的影响;教育前后干预。方法:对马来西亚敦根区7个诊所的医务人员、助理医务人员、药剂师和药剂师助理进行介入研究。问卷分别于干预前和干预后发放。本研究的干预措施是持续医学教育(CME)和关于母乳喂养妇女药物使用的小册子。使用社会研究统计软件包(SPSS)输入和分析数据,并以频率、平均值和标准差表示。结果:共有50名HCPs参与了这项研究,其中超过20%的人建议母亲在需要服用任何药物时停止母乳喂养。教育干预后,医护人员对母乳喂养妇女用药知识的知晓程度显著提高(Z= -5.917, p<0.001)。结论:CME和简化手册对医护人员母乳喂养用药知识有积极影响。
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