外来透析患者における内服薬の理解度に関する統計学的解析
2003 年 29 巻 4 号 p. 532-538
詳細
2003 年 29 巻 4 号 p. 532-538
Chronic hemodialysis outpatients take various medicines for a long time, and require 3 or 4 hours for one hemodialysis treatment. Therefore, we should give peninent information efficiency in order to maintain their quality of life. The purpose of this study was to investigate the knowledge of medication statistically on chronic hemodialysis outpatients from the pharmacist's point of view and to inspect the capable instruction in medication.
The 63 chronic hemodialysis outpatients, who had received instructions in medication at Towa hospital during February and March 2002, were selected by random sampling. For them, we carried out the questionnaire by interview and inquiry into medical reports. We converted the answers to the score on knowledge, and made a correlation analysis between the score and the patient's background. In addition, we made a simple regression analysis, using the one way analysis of variance (ANOVA), and the Tukey-Kramertest.
We obtained the following results : 1. The score on knowledge of medication was 11.2±4.6 marks out of 25.2. Regarding the score on knowledge of medication, the group in the age younger than 60 moreover in the duration of hemodialisis above 5 years (15.7±2.5 marks) and the group in non-diabetes mellitus (12.3±4.4 marks) wee significantly higher than in the other groups. 3.25.4% of all patients understood about side effects, 14.3% worried about interactions with some medicines, and 58.7% had made mistakes in medication One or more times.
In the light of these results, we propose that we can infer the knowledge of medication from the background of patient, such as age, the duration of hemodialysis, disease, and we can prepare materials based on the ability to understand their medication for each patient. It is also beneficial for increasing efficiency to standardize method and points of instruction, because we will be able to use more exact information even for new patient and thus make a plan of the instruction in a timely manner for such patients.
