坦桑尼亚达累斯萨拉姆公立和私立医院护士药物不良反应报告准备情况的影响因素调查

V. Mugoyela, Romantiezer Robert, Nelson E Masota
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摘要

目前的研究评估了公立和私立医院护士对报告药物不良反应的准备情况。医院的护士是与病人非常接近的保健提供者之一,并参与给药过程,特别是对住院病人。在坦桑尼亚达累斯萨拉姆市公立和私立医院的护士中进行了一项横断面研究,以比较他们在报告药物不良反应(adr)方面的准备情况。本研究共涉及384名护士,其中50%来自公立医院,50%来自私立医院。大多数公立医院(75.25%)和私立医院(84.73%)的受访者表示没有接受过有关不良反应报告的培训。在接受过培训的少数护士中,公立医院和私立医院分别有85.43%和96.55%的人表示,他们在开始担任护士后只接受过一次研讨会的培训。公立医院(19.17%)和私立医院(32.8%)的受访者报告有库存adr表(黄卡)。不到50%的答复者同意可获得参考资料,如名为“良好配药规范”的教科书和“注册药品清单”。进一步的结果显示,超过三分之二的私立医院(74.25%)和公立医院(73.5%)的受访者表示,缺乏培训影响了报告不良反应的能力和倾向。在这项研究中,我们发现培训、黄牌的可用性和焦点人员的存在是公立和私立医院护士报告不良反应准备的重要因素。
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Investigation of Factors Affecting Preparedness of Reporting Adverse Drug Reactions among Nurses in Public and Private Hospitals in Dar Es Salaam, Tanzania
The current study assessed preparedness among nurses about reporting adverse drug reactions in public and private hospitals. Nurses in hospitals are among health providers very close to patients and are involved in the process of administering medications especially to inpatients. A cross sectional study was conducted among nurses in public and private hospitals in Dar es Salaam city in Tanzania to compare their preparedness on reporting adverse drug reactions (ADRs). A total of 384 nurses were involved in this study, of which 50% were drawn from public hospitals and 50% from private hospitals. Majority of respondents (75.25%) in public and 84.73% in private hospitals said they have not received any training about reporting ADRs. Of the few trained nurses, 85.43% and 96.55%, in public and private hospitals, respectively, said they have been trained in a seminar only once, after they started working as nurses. Respondents in public (19.17%) and private (32.8%) hospitals reported to stock ADRS forms (Yellow cards). Less than 50% of respondents agreed to have access to reference materials such as a text books named “Good Dispensing Practice” and a “List of Registered Medicines”. Further results showed more than two third of all respondents in private (74.25%) and public (73.5%) hospitals reported that lack of training affects the process of reporting ADRs in terms of ability and tendency. In this study we found training, availability of Yellow cards and presence of a focal person are among important contributing factors to preparedness of reporting ADRs among nurses in public and private hospitals.
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