教育干预对提高阿育吠陀学研究生对药物警戒和 adr 报告的认识的影响

Meena Atray, Aditi Bhandari, Rahul Damor
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摘要

目的:药物不良反应(ADR)是导致发病和死亡的主要原因之一。阿育吠陀是印度最古老的医疗保健体系之一,在印度广为流传,人们误认为阿育吠陀和 H 类药物不会产生 ADR。研究生(PG)是刚刚毕业的医科毕业生,是三级医疗中心提供医疗服务的主要贡献者。本研究旨在评估研究生对药物警戒的认识、态度和实践,以及教育干预对其认识和态度的影响。研究方法进行了一项基于前测、后测问卷的横断面研究。研究对象包括来自不同院系的 41 名研究生。研究以宣传计划的形式进行了教育干预,内容包括药物警戒的基本知识、药物警戒监测系统和基于病例的 ADR 报告。经过验证的问卷包括药物警戒知识、态度和实践方面的问题,作为前测和后测,并对结果进行了统计评估。结果显示前测得分显示,参与者了解药物警戒的基本知识,但缺乏有关报告程序和监测系统的知识。前测和后测的平均分差异具有统计学意义。大多数参与者同意,报告药物不良反应可提高药物安全性,并应经常开展宣传计划,但实际上,他们没有接受过任何培训/宣传计划。结论研究表明,即使对药物安全和 ADR 报告持积极态度,但 PG 学生对监测系统的不了解和 ADR 报告的不足表明,亟需开展反复培训/宣传计划和其他合适的方法来鼓励 ADR 报告。
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IMPACT OF AN EDUCATIONAL INTERVENTION ON AWARENESS OF PHARMACOVIGILANCE AND ADR REPORTING AMONGST AYURVEDIC POST-GRADUATE STUDENTS
Objective: Adverse drug reactions (ADR) are one of the major causes of morbidity and mortality. Ayurveda is one of the oldest healthcare systems, widely practiced in India and there is a misconception that AYU and H drugs are free from ADRs. Post-graduate (PG) students are fresh pass-out medical graduates and are major contributors in providing health care at tertiary care centres. The present study was planned with the aim of evaluation of knowledge, attitude and practice of pharmacovigilance amongst PG students and impact of an educational intervention on their knowledge and attitude. Methods: A pre-test, post-test questionnaire based cross-sectional study was conducted. 41 postgraduate students from different branches were included. An educational intervention in the form of sensitization programme, including basic knowledge of pharmacovigilance, monitoring system for pharmacovigilance andcase-based ADR reporting was conducted. A validated questionnaire consisting of questions regarding knowledge, attitude and practice of pharmacovigilance was provided as a pre-test and post-test and the results were statistically evaluated. Results: Scores of pre-test reveals that the participants were aware of basic knowledge of pharmacovigilance but knowledge about reporting procedure and the monitoring system was lacking. The difference in mean scores of pre and post-test was statistically significant. Most of the participants agreed that reporting ADR improves drug safety and frequent sensitization programmes should be conducted but practically, they had not undergone any training/sensitization programme. Conclusion: The study reveals that even with the favorable attitude towards drug safety and ADR reporting, the unawareness of PG students about the monitoring system and deficient ADR reporting indicatesa strong need for the conduction of repeated training/sensitization programmes and other suitable methods for encouraging ADR reporting.
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