慢性病連續處方箋衛教宣導之立即成效

Immediate Effects of Educational Lectures on Refill Prescriptions for Chronic Diseases

莊凱嵐(Kai-Lan Chuang) ； 連恆榮(Heng-Jung Lien) ； 涂慧慈(Hui-Tzu Tu) ； 陳鳳珠(Feng-Chu Chen) ； 林娜翎(Na-Ling Lin) ； 黃怡樺(Yi-Hua Huang) ； 史麗珠(Lai-Chu See)

《中山醫學雜誌》 22卷2期 (2011/06) Pp. 165-174

https://doi.org/10.30096/CSMJ.201106.0003

摘要

Aims: To evaluate the immediate effect of an educational lecture on refill prescriptions for chronic diseases (RPCD). Methods: A single group pretest and posttest trial was used. From May to October, 2007, pharmacists gave educational lectures about RPCD at community pharmacies or Vital Health Stations. Participants were asked to fill out a questionnaire about their knowledge of RPCD as well as their behaviors before the lecture (pretest). After the lecture, they were given a similar questionnaire about their knowledge and future intentions of RPCD (posttest). Results: A total of 689 participants was eligible and 362 people (52.5%) had obtained refilled prescriptions. After attending the lecture, the participants' knowledge significantly increased 18.1% (from 66.6% to 84.7%) (p＜0.0001). Participants' information source about RPCD (p＜0.0001), the usage group of RPCD (Ⅰ=never used RPCD; Ⅱ=had not refilled their prescriptions at community pharmacies; Ⅲ=had refilled their prescriptions at community pharmacies) (p＜0.0001), and education level (p=0.0001) were important factors affecting their increase in knowledge. Of the participants (n=521) who had chronic diseases but had never used refills or had not refilled their prescriptions at community pharmacies, 464 people (89.1%) reported that they were willing to refill their prescriptions at community pharmacies. Knowledge of RPCD at posttest (p=0.0001), age (p=0.0012), a history of diabetes (p=0.0045), their prior information source for RPCD (p=0.0109), and the location of the educational lecture (p=0.0361) were important factors affecting their future intention having their chronic disease medications refilled at community pharmacies. Discussion: Although we saw an immediate effect of the educational lecture on the knowledge gain of RPCD and a high proportion of people reported that they were willing to have their prescriptions filled at community pharmacies, longer follow up is needed to find out the long term effect of the educational lecture.

關鍵字

慢性病連續處方箋 ； 衛教 ； 知識 ； 未來意願 ； 社區藥局

並列摘要

Aims: To evaluate the immediate effect of an educational lecture on refill prescriptions for chronic diseases (RPCD). Methods: A single group pretest and posttest trial was used. From May to October, 2007, pharmacists gave educational lectures about RPCD at community pharmacies or Vital Health Stations. Participants were asked to fill out a questionnaire about their knowledge of RPCD as well as their behaviors before the lecture (pretest). After the lecture, they were given a similar questionnaire about their knowledge and future intentions of RPCD (posttest). Results: A total of 689 participants was eligible and 362 people (52.5%) had obtained refilled prescriptions. After attending the lecture, the participants' knowledge significantly increased 18.1% (from 66.6% to 84.7%) (p＜0.0001). Participants' information source about RPCD (p＜0.0001), the usage group of RPCD (Ⅰ=never used RPCD; Ⅱ=had not refilled their prescriptions at community pharmacies; Ⅲ=had refilled their prescriptions at community pharmacies) (p＜0.0001), and education level (p=0.0001) were important factors affecting their increase in knowledge. Of the participants (n=521) who had chronic diseases but had never used refills or had not refilled their prescriptions at community pharmacies, 464 people (89.1%) reported that they were willing to refill their prescriptions at community pharmacies. Knowledge of RPCD at posttest (p=0.0001), age (p=0.0012), a history of diabetes (p=0.0045), their prior information source for RPCD (p=0.0109), and the location of the educational lecture (p=0.0361) were important factors affecting their future intention having their chronic disease medications refilled at community pharmacies. Discussion: Although we saw an immediate effect of the educational lecture on the knowledge gain of RPCD and a high proportion of people reported that they were willing to have their prescriptions filled at community pharmacies, longer follow up is needed to find out the long term effect of the educational lecture.

並列關鍵字

refill prescriptions for chronic diseases ； education ； knowledge ； future intention ； community pharmacy