慢性病連續處方箋衛教宣導之立即成效

莊 凱嵐, 連 恆榮, 涂 慧慈, 陳 鳳珠, 林 娜翎, 黃 怡樺, Lai-Chu See

Research output: Contribution to journalJournal Article peer-review

Abstract

目的:評估桃園地區民眾接受慢性病連續處方箋(簡稱慢箋)衛教宣導後,知識的提升及使用慢箋至社區藥局領藥意願之成效。 方法:採單組前後測設計,於2007年5月至10月由藥師在桃園社區藥局或健康活力站,進行慢箋衛教宣導,請願意參與的民眾先填寫慢箋知識及行為前測問卷,宣導後再填寫後測問卷。 結果:有效問卷689份,其中屬慢箋族群362人(52.5%)。衛教後這些參與者對慢箋的知識均有提升,整體增加18.1%(66.6%→84.7%) (p<0.0001)。慢箋資訊來源(p<0.0001)、慢箋使用組別(Ⅰ=沒有使用慢箋者;Ⅱ=有使用慢箋但不到社區藥局領藥者;Ⅲ=有使用慢箋且到社區藥局領藥者) (p<0.0001)及教育程度(p=0.0001)為慢箋知識提升的影響因子。針對有慢性病但沒有使用慢箋的民眾,及使用慢箋只到就診醫院或診所領藥的民眾(521位),經衛教後,有464位(89.1%)民眾未來有意願持慢箋到社區藥局領藥。慢箋知識後測答對題數(p=0.0001)、年齡(p=0.0012)、自述罹患糖尿病(p=0.0045)、慢箋的資訊來源(p=0.0109)及收案地點(p=0.0361),是持慢箋到社區藥局領藥未來意願之重要影響因素。 討論:雖然經衛教宣導後看到慢箋知識的上升,民眾未來持慢箋至社區藥局領藥的意願有提高,唯僅限於宣導後的即時效果,若要了解其長期成效則建議需長期追蹤,並於過程中不斷宣導民眾慢箋知識及促進持慢箋至社區藥局領藥之意願,才能瞭解慢箋衛教的長期成效。
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.
Original languageChinese (Traditional)
Pages (from-to)165-174
Journal中山醫學雜誌
Volume22
Issue number2
StatePublished - 2011

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