初级保健中阿片类药物处方教育的患者满意度

IF 2.9 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Patient Education and Counseling Pub Date : 2024-11-22 DOI:10.1016/j.pec.2024.108572
Lisa E.M. Davies , Hendrika A. van den Ham , Arnt F.A. Schellekens , Daphne Philbert , Marcel L. Bouvy
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引用次数: 0

摘要

目的本研究探讨患者对阿片类药物教育的满意度,确定需要改进的领域,并评估对阿片类药物教育满意或不满意的患者之间的差异。方法对有处方阿片类药物经历的成年人进行横断面调查。受访者报告了阿片类药物的细节、人口统计和疼痛应对。评估了处方医生和药房工作人员对阿片类药物使用、疼痛缓解预期、副作用和逐渐减少的教育的满意度。开放式问题收集了改进建议。结果受访者(n = 1605)对阿片类药物使用(59 - 80%)和预期疼痛缓解(46 - 72%)的满意度高于对副作用(50 - 65%)和逐渐减少(29 - 50%)的满意度。处方医师提供的教育比药房工作人员提供的教育获得更高的满意度得分,尽管两者的价值相同(约70%)。不满意的受访者往往有较高的教育水平,较低的疼痛应对得分,往往无效的阿片类药物经验。对404名表示需要改进的受访者进行定性分析,强调需要更明确的副作用、成瘾风险和逐渐减少的信息,以及更容易理解的格式。结论对类药物患者的教育应优先考虑副作用、成瘾风险和治疗开始时的逐渐减少。开处方者和药房工作人员的教育贡献被认为是重要的。实践意义参与药学人员,特别是在重复配药过程中,可以加强患者对阿片类药物的教育。
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Patient satisfaction with prescription opioid education in primary care

Objectives

This study explores patients' satisfaction with opioid education, identifies areas for improvement, and assesses differences between those more or less satisfied with their opioid education.

Methods

A cross-sectional survey of adults with prescription opioid experience. Respondents reported opioid details, demographics, and pain coping. Satisfaction with education from prescribers and pharmacy staff on opioid usage, pain relief expectations, side effects, and tapering was assessed. Open-ended questions gathered suggestions for improvement.

Results

Respondents (n = 1605) seemed more satisfied with information on opioid usage (59–80 %) and expected pain relief (46–72 %) than on side effects (50–65 %) and tapering (29–50 %). Prescriber-provided education received higher satisfaction scores than pharmacy staff-provided education, though both were valued equally (∼ 70 %). Dissatisfied respondents tended to have higher education levels, lower pain coping scores, and often ineffective opioid experiences. Qualitative analysis of the 404 respondents who indicated a need for improvement emphasised the need for clearer information on side effects, addiction risks, and tapering, and more understandable formats.

Conclusions

Opioid patient education should prioritise addressing side effects, addiction risks, and tapering at treatment initiation. The educational contributions of both prescribers and pharmacy staff are deemed important.

Practice implications

Engaging pharmacy staff, especially during repeat dispensing, can enhance patient education on opioids.
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来源期刊
Patient Education and Counseling
Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
11.40%
发文量
384
审稿时长
46 days
期刊介绍: Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.
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