Health  Vol.7 No.11 , November 2015
Physicians’ Instructions to Patients Regarding Medications in a Saudi University Hospital
ABSTRACT
Objectives: To estimate the proportion of patients who received instructions regarding their medications’ functions, methods of administration, dosages, adverse effects, drug-drug interactions, as well as to identify the sources of knowledge concerning medications’ instructions. Methods: A cross-sectional study was carried out in King Khalid University Hospital (KKUH) in the out-patient pharmacy in 2013. The data collection method includes personal interview with patients who are randomly selected from adults above 18 years of age. The interview was conducted among patients and any person who attends the consultation. Results: The sample was 274 patients. Patients who received instructions for drugs’ functions 208 (75.9%), method of administration 229 (83.6%), doses of drugs 220 (80.3%), drugs’ adverse effects 47 (17.1%), and drug-drug interactions 41 (15%). Sources of medications’ instructions were physicians (73.6%), pharmacists (42.3%), patient information leaflets (PILs) (40.5%) and family or friends (12.8%). Conclusion: The provided instructions about prescribed medications to patients in KKUH were incomplete that may lead to therapeutic failure.

Cite this paper
Gad, A. , Almousa, S. , Sharefi, M. , Alshaqrawi, A. , Alqashami, A. , Al-Salloom, M. and Binsaid, A. (2015) Physicians’ Instructions to Patients Regarding Medications in a Saudi University Hospital. Health, 7, 1441-1447. doi: 10.4236/health.2015.711158.
References
[1]   Berthelotp, J.M., Glemarec, J., Guillot, P., Chiffoleau, A., Maugars, Y. and Rodat, O. (2003) Informing Patients about Serious Side Effects of Drugs. A 2001 Survey of 341 French Rheumatologists. Joint Bone Spine, 70, 52-57.
http://dx.doi.org/10.1016/S1297-319X(02)00011-8

[2]   Kerzman, H., Baron-Epelb, O. and Torenc, O. (2005) What Do Discharged Patients Know about Their Medication? Patient Education and Counseling, 56, 276-282.
http://dx.doi.org/10.1016/j.pec.2004.02.019

[3]   Wolf, M.S., Davis, T.C., Shrank, W., Rapp, D.N., Bass, P.F., Connor, U.M., et al. (2007) To Err Is Human: Patient Misinterpretations of Prescribion Drug Label Instructions. Patient Education and Counseling, 67, 293-300.
http://dx.doi.org/10.1016/j.pec.2007.03.024

[4]   Nader, F., Mousavizadeh, K. and Ghafourifar, P. (2008) Patient Sources for Drug Information in Iran: A Questionnaire-Based Survey. Pharmacy World and Science, 30, 764-767.

[5]   Tarn, D.M., Paterniti, D.A., Orosz, D.K., Tseng, C.H. and Wenger, N.S. (2013) Intervention to Enhance Communication about Newly Prescribed Medications. Annals of Family Medicine, 11, 28-36.
http://dx.doi.org/10.1370/afm.1417

[6]   Singh, J., Singh, N., Kumar, R., Bhandari, V., Kaur, N. and Dureja, S. (2013) Awareness about Prescribed Drugs among Patients Attending Out-Patient Departments. International Journal of Applied and Basic Medical Research, 3, 48-51.
http://dx.doi.org/10.4103/2229-516X.112240

[7]   Trewin, V.F. and Veitch, G.B.A. (2003) Patient Sources of Drug Information and Attitudes to Their Provision: A Corticosteroid Model. Pharmacy World and Science, 25, 191-196.
http://dx.doi.org/10.1023/A:1025810603241

[8]   Davis, T.C., Federman, A.D., Bass, P.F., Jackson, R.H., Middlebrooks, M., Parker, R.M., et al. (2008) Improving Patient Understanding of Prescription Drug Label Instructions. Journal of General Internal Medicine, 24, 57-62.

[9]   Ministry of Health. [Online]. 2011.
http://www.moh.gov.sa/Ministry/Statistics/book/Documents/1432.rar

[10]   Borgsteede, S.D., Karapinar-Carkit, F., Hoffmann, E., Zoer, J. and Bemt, P.M.B. (2011) Information Needs about Medication According to Patients Discharged from a General Hospital. Patient Education and Counseling, 83, 22-28.
http://dx.doi.org/10.1016/j.pec.2010.05.020

[11]   Tarn, D.M., Heritage, J., Paterniti, D.A., Hays, R.D., Kravitz, R.L. and Wenger, N.S. (2006) Physician Communication When Prescribing New Medications. Archives of Internal Medicine, 166, 1855-1862.
http://dx.doi.org/10.1001/archinte.166.17.1855

[12]   Indermitte, J., Reber, D., Beutler, M., Bruppacher, R. and Hersberger, K.E. (2007) Prevalence and Patient Awareness of Selected Potential Drug Interactions with Self-Medication. Journal of Clinical Pharmacy and Therapeutics, 32, 149-159.
http://dx.doi.org/10.1111/j.1365-2710.2007.00809.x

[13]   Holappa, M., Ahonen, R., Vainio, K. and Hameen-Anttila, K. (2012) Information Sources Used by Parents to Learn about Medications They Are Giving Their Children. Research in Social and Administrative Pharmacy, 8, 579-584.
http://dx.doi.org/10.1016/j.sapharm.2012.01.003

[14]   Narhi, U. (2007) Sources of Medicine Information and Their Reliability Evaluated by Medicine Users. Pharmacy World and Science, 29, 688-694.
http://dx.doi.org/10.1007/s11096-007-9131-1

 
 
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