台南市某地區慢性腎臟病患者之用藥認知、態度與行為研究

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Title:	台南市某地區慢性腎臟病患者之用藥認知、態度與行為研究 The Studies on Medication Cognition, Attitude and Behavior onPatient with Chronic Kidney Disease in a District of Tainan city, Taiwan
Authors:	康敏慧
Contributors:	藥學系黃秀琴
Keywords:	用藥行為用藥態度用藥認知態度與行為慢性腎臟病 medication cognition, attitude and behavior Chronic Kidney Disease (CKD)
Date:	2015
Issue Date:	2015-10-21 17:05:22 (UTC+8)
Abstract:	依據美國腎臟登錄系統（USRDS）2013年報公佈的全球尿毒症排行，台灣洗腎病患盛行率由2007年的0.229%上升為0.258%。且每年仍以8~10%的速度增加。台灣民眾多元的用藥行為包含中藥、西藥、保健食品、偏方等同時使用多種藥物或自行調整的不當用藥行為普遍存在，增加藥物與藥物之間的交互作用及藥物不良反應的發生。本研究以台南市某地區四個醫療院所的透析病患及其門診非透析之慢性腎臟病患為受訪對象，排除因急性感染或外力行為而導致透析的急性腎衰竭的病人，於2015.04.08至2015.06.06進行問卷調查。問卷架構設定是依據社會人口學為自變項，與用藥認知、用藥態度及用藥行為為依變項。應用SPSS18.0統計軟體來分析研究結果。本研究有效樣本共222人，非透析有98人，透析有124人，年紀以50歲以上居多。有長期使用藥物控制的疾病中多以慢性病為主包含慢性腎臟病、高血壓、糖尿病、高血脂、與心臟病；長期使用藥物類別中，西藥有216人，佔96.9%；種類在1-3種有58人，佔38.1%，4-6種有98人，佔43.9%，7-9種有31人，佔13.9%，10種以上有4人，佔1.8%。同時服用中藥者有25人，佔11.2%；服用中藥種類在1-3種者有58人，佔38.1%。同時服用保健食品的有62人，佔27.8%，服用保健食品種類在1-3種有57人，佔25.6%。透析患者可能因為自身疾病的進展與照護過程中，對疾病照護與使用藥物上有更清楚的用藥認知；在使用藥物的態度上也更為謹慎留心藥物的不良反應；在就醫與服用藥物時，也相對有較安全的用藥行為。本研究對象對藥師的藥事服務之利用率不高，可能是患者對藥師的專業認識與瞭解不足，以及藥師主動提供民眾用藥的藥事服務的機會與環境條件不佳，使藥師在民眾用藥安全上沒有發揮藥師的藥事服務功能。 According to the ranking of global End-Stage Renal Disease (ESRD) in 2013 from The United States Renal Data System (USRDS), the prevalence of ESRD increased from 2285 to 2584 people per million people. Medicine diversified such as hysician-dispensed, over-the-counter drugs, Chinese herbal medicine, polypharmacy, and inappropriate medication may cause drug-drug interaction and adverse drug reactions (ADR). A total of 222 subjects who were over twenty years old, recruited from four dialysis centers in a district of Tainan city, Taiwan. Data collection was conducted from 04-28-2015 to 06-06-2015. The study used self-administered questionnaire survey, included subjects that divided into two subgroups by dialysis: dialysis and non-dialysis. Participants were excluded if they had kidney injury. All statistical analyses were performed using SPSS statistical software, version 18.0.The majority subjects were over 50 years old, and have long-term use of medicines to control diseases included chronic kidney disease, hyperlipidemia , hypertension, diabetes, and cardiovascular disease. The drug category included prescription drugs were 216 people (96.9%), herbal preparations were 25 people (11.2%), dietary supplements were 62 people(27.8%). There were 216 people (96.9 % ) take prescribed drugs: 1-3 species were 58 people (38.1%), 4-6 species were 98 people (43.9%), 7-9 kinds were 31 people (13.9%), and more than 10 kinds were 4 people(1.8%). And 25 people (11.2%) take herbal preparations at the same time, 1-3 species were 24 people (10.8%). And 62 people (27.8%) took dietary supplements at the same time, 1-3 species were 57 people (25.6.8%).The cognition, attitude and behavior of taking drug in dialysis patients was significantly better than non-dialysis patients, possibly because dialysis patients have more experience in care kidney disease. In our study, CKD patients were lack of pharmaceutical service by the pharmacists in terms of medication knowledge and consultation effectiveness. Pharmacists lack of better opportunity and environmental condition in terms of CKD patients in pharmaceutical services.
Relation:	校外公開：2016-09-10,校內公開：2015-09-10，學年度：103，130頁
Appears in Collections:	[Dept. of Pharmacy] Dissertations and Theses

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