某區域教學醫院用藥安全衛生教育成效分析

An Analysis on the Effectiveness of Health Education for Medication Safety in a Regional Teaching Hospital

本研究是以雲嘉地區某區域醫院等候拿藥患者為對象，旨在探討雲嘉地區患者對用藥安全前後認知的研究，藉以了解該地區患者於衛教前後對用藥安全的認知差異。資料蒐集時間為94年10月，以等候拿藥患者立意取樣，由同一問卷調查人員採一對一的方式進行問卷填寫，分別在衛教活動進行前與結束後對現場聆聽衛教的患者進行問卷調查，共取得樣本100份，所得資料以Excel及MedCalc進行資料整理與統計分析。研究結果發現，在衛教前只有14.1%的患者知道什麼是病人安全，19.2%聽過病人安全的目標；在用藥方面，僅有34.3%的患者有正確用藥的觀念；有疑問時知道詢問管道的患者佔35.4%；另外46.9%覺得安全用藥很重要。衛教後，49.0%的患者對病人安全有進一步的瞭解；53.0%的人已經明白病人安全的目標為何；對於是否有正確用藥觀念的部份提升至72.0%；用藥方面，有疑問時知道詢問管道的患者也提升至64.6%。因此，我們發現患者在衛教前後在病人安全的認知上均有顯著差異（p<0.01），不管是對用藥安全，或者病人安全的認知上都有很大的幫助。有計畫性且循序漸進的衛教，更容易達到衛教成效，使患者易於理解衛教內容，達到用藥安全的目標。

The purpose of this study is to explore the effects of health education programs on the cognition of the concept for medication safety in the Yun-Lin and Chia-Yi areas of Taiwan. One hundred patients waiting for drug prescription in a regional teaching hospital were enrolled. The difference of cognition between pre-education and post-education was investigated by face-to-face questionnaires and would be regarded as indices to improve health education programs in the future. Data were collected in October 2005; all the participants were evaluated by the same surveyor before and after a medication-safety education. Data were collected and analyzed by EXCEL 2003 and MedCalc software. The results revealed that only 14.1% participants knew what patient safety was and 19.2% heard about the objective of patient safety before education, but the cognition percentages respectively elevated to 49.0% and 53.0% after the education. We also found that only 34.3% participants had correct knowledge about medication and 35.4% knew where to consult about medication before education, but after the education, the percentages elevated to 72.0% and 64.6% respectively. These data indicated that there was a significant difference in the knowledge of patient safety and medication safety before and after the education (P<0.01). We concluded that, through appropriate education, there was great help for patients to know about patient safety and medication safety. It will also make patients easier to catch the points by learning from well-planned and sequentially-arranged teaching courses. We hope that the goal of popularizing the knowledge of medication safety could be achieved in all patients.