著者

小山内 康徳 桂 志保里 佐藤 大峰 木村 礼志 児玉 啓史 高杉 公彦 櫻井 秀彦

出版者

日本社会薬学会

雑誌

社会薬学 (ISSN:09110585)

巻号頁・発行日

vol.34, no.2, pp.72-80, 2015-12-10 (Released:2015-12-25)

参考文献数

17

被引用文献数

1

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The purpose of this study was to assess the negative effects of some factors on medicine-taking behavior. For the patients taking oral medication who visited a health insurance pharmacy, we enacted the actual situation of medication and conducted an attitude survey on the feeling of burden and resistance of taking the drugs. The survey also covered the factors that can influence medicine-taking behavior and the extent of the influence. For differences in each factor such as patient characteristics, lifestyle, and medication status, we used the 2 test to analyze the association with medicine-taking behavior. We found significant differences in age, dietary habits, occupation, periodic consultation with the pharmacy/doctor, and unpleasant experiences. In addition, in patients with multiple factors that cause noncompliance with medication, we observed a strong influence of age and occupation. From the factor analysis, we obtained data on time, quantity, and pharmaceutical factors (three factors called regular factors). These factors negatively influenced the use of medication by the patients. Next, in the covariance structure analysis, the influence of time and the quantity factor on medication-related stress was the observed to be the strongest, whereas the influence of the regular factors was not significant. Furthermore, there were differences in the influence of these factors depending on patient characteristics.

著者

小山内 康徳 木村 礼志 高杉 公彦 櫻井 秀彦

出版者

一般社団法人日本医療薬学会

雑誌

医療薬学 (ISSN:1346342X)

巻号頁・発行日

vol.44, no.6, pp.288-298, 2018-06-10 (Released:2019-06-10)

参考文献数

15

被引用文献数

4

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A survey was conducted among patients that use health insurance pharmacies to determine the importance of drug consultation contents that are discussed during “holiday and night hours” and “regular open hours”. We investigated differences in the degree of importance in consultation topics for each drug between “holiday and night hours” and “regular open hours”. Also, for each time period, we also attempted to identify priority drug consultation topics for multiple medications. Three important consultation topics during “holiday and night hours” were found to be “drug interaction”, “actions to be taken in an emergency” and “whether or not to take a medication”. When drug consultation topics were compared between “holiday and night hours” and “regular open hours”, topics regarding “expiration date” and “indication” were found to be of higher importance during “regular open hours”. In regard to ideal patient consultations at pharmacies, based on the fact that i) the consultation contents differ depending on the patient's background and the time of day, and ii) the patient's needs differ from the topics of information covered when providing medication instructions and other information, the above results suggest that consultations need to be improved and aligned with the patient's needs.