首页|药品说明书适老化改革需求与影响因素研究:基于全国多中心横截面调查的分析

药品说明书适老化改革需求与影响因素研究:基于全国多中心横截面调查的分析

扫码查看
目的 调查我国药品说明书(DPI)适老化现状,了解老年患者DPI使用需求及影响因素,提出DPI适老化改进的对策建议.方法 这是一项全国多中心横截面研究,调查对象为≥60岁的老年慢性病患者,调查内容包括患者基本信息、对DPI的认知、阅读DPI存在的障碍、DPI的使用需求及DPI改进建议等.药师通过上门居家药学服务的方式开展调研并填写调研问卷.结果 共纳入8325例患者,平均年龄(70.10±7.84)岁,男性3866例(46.44%),女性4459例(53.56%).老年人阅读DPI的主要障碍是"字太小,看不清"(78.23%)、"用词太专业,看不懂"(58.79%)、"内容太多,不知道看哪里"(56.48%)和"缺少老年人用药相关信息"(55.93%).对DPI适老化改进的建议主要是增大字体(31.33%)、使用通俗易懂的语言表达(27.14%)、精简内容(25.31%)和用画图的形式展示(15.06%).Logistics回归结果显示受教育水平、是否保留DPI、能否看懂DPI、城市级别和不同地区是患者对DPI使用需求的主要影响因素(P<0.05).结论 我国现行DPI不能满足老年患者的使用需求,应设计专门的患者使用DPI,确保信息的易读性、易理解性、简化性和视觉直观性.
Demand and influence factors for age-friendly reform in drug package inserts:a national multi-center cross-sectional survey
Objective To determine the current status of age-friendly drug package inserts(DPI)in China,understand the demand for and influence factors of DPI among elderly patients,and propose strategies for improving the age suitability reform of DPI.Methods This was a national multi-center cross-sectional study targeting chronic disease patients aged≥60 years.The survey included patient basic information,cognitive understanding of DPI,barriers to reading DPI,DPI usage needs,and suggestions for DPI improvement.Pharmacists conducted the survey through home pharmaceutical services and had the questionnaires filled out.Results Totally 8325 patients were surveyed,with an average age of(70.10±7.84)years,3866 males(46.44%)and 4459 females(53.56%).The main obstacles for elderly people in reading DPI included"too small text to read"(78.23%),"too many terminologies"(58.79%),"too much content,unsure where to focus"(56.48%),and"lack of information related to elderly medication"(55.93%).The main suggestions for improving DPI for the elderly included bigger font size(31.33%),simple and understandable language use(27.14%),content simplification(25.31%),and visual aids(15.06%).Logistic regression indicated that education level,keeping of DPI,DPI readability,urbanization level,and regional difference were the main influence factors for patients'DPI usage needs(P<0.05).Conclusion Current DPIs in China fail to meet the usage demands of the elderly.Age-freindly DPIs for patients should be designed to ensure the readability,understandability,simplicity,and perception of information.

drug package insertelderly patientchronic diseaseusage demandinfluence factor

武明芬、葛姝、周博雅、李茜茜、马慧艳、赵志刚

展开 >

首都医科大学附属北京天坛医院药学部,北京 100070

中国人民大学社会与人口学院,北京 100872

首都医科大学附属北京妇产医院药事部,北京 100006

首都医科大学附属北京胸科医院药学部,北京 101149

郑州颐和医院药剂科,郑州 450018

展开 >

药品说明书 老年患者 慢性病 使用需求 影响因素

国家卫生健康委药具管理中心药品使用说明书适老化研究项目

国卫药管ZDC202201

2024

中南药学
湖南省药学会

中南药学

CSTPCD
影响因子:0.736
ISSN:1672-2981
年,卷(期):2024.22(10)