ISSN : 0975-9492


Open Access

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Title : Assessment of Patients Misunderstanding of Dosage Regimen Instructions among Adolescent and Adult Outpatients in Ethiopia: The Case of a Primary Hospital
Authors : Ababo Terefe, Tesfahun Chanie
Keywords : Misunderstanding, dosage regimen, instructions, outpatients, Ethiopia
Issue Date : August 2014
Abstract :
Purpose: Patient misunderstanding of dosage regimen instructions is common and a potential root cause for medication error, poor medication adherence and treatment outcome. We assessed patient misunderstanding of dosage regimen instructions among outpatients in Shambu Primary Hospital.
Methods and materials: A facility based cross sectional study was conducted from February 10 to 30, 2013 at Shambu primary hospital, Southwest Ethiopia. Study subjects were selected by random sampling technique and were interviewed face to face at exit site of the outpatient pharmacy using semi structured questionnaire translated into local languages. Direct observations of the medication label were also done to evaluate the drug labeling practices of dispensing pharmacy professionals. Descriptive analysis was used to describe the percentages and number distributions of variables. Chi square test was used to assess association of variables with primary outcome with a significance level (a) of 0.05.
Results: A total of 400 patients were included in the study and 52.3% were female in gender. Around 37% of respondents were found to be in the age range of 25 to 34 years. Present study revealed that 293 (73.3%) of the study participants misunderstood one or more dosage regimen instructions, and 264 (66%) of the subjects had also misunderstood the frequency of drug administration. Moreover, from medication label observations, 273 (68.25%) were dispensed without a medication label. Misunderstanding of dosage regimen instructions was significantly associated with age, educational level and residence.
Conclusion: The extent of patients misunderstanding of dosage regimen instructions is relatively higher. Effective targeted interventions are highly warranted to resolve these significant patient safety problems.
Page(s) : 446-453
ISSN : 0975-9492
Source : Vol. 5, No.8