{"id":114436,"date":"2013-04-07T00:00:00","date_gmt":"2013-04-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/conocimiento-del-paciente-acerca-de-la-medicacion-prescrita-influencia-de-las-fuentes-de-informacion-y-legibilidad-de-los-prospectos\/"},"modified":"2013-04-07T00:00:00","modified_gmt":"2013-04-07T00:00:00","slug":"conocimiento-del-paciente-acerca-de-la-medicacion-prescrita-influencia-de-las-fuentes-de-informacion-y-legibilidad-de-los-prospectos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/murcia\/conocimiento-del-paciente-acerca-de-la-medicacion-prescrita-influencia-de-las-fuentes-de-informacion-y-legibilidad-de-los-prospectos\/","title":{"rendered":"Conocimiento del paciente acerca de la medicaci\u00f3n prescrita: influencia de las fuentes de informaci\u00f3n y legibilidad de los prospectos."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Araceli Clavel Rojo <\/strong><\/h2>\n<p>Resumen como objetivo de este trabajo, se plantea estudiar los factores que influyen sobre el conocimiento del paciente acerca de la medicaci\u00f3n prescrita, analizando tanto las variables sociodemogr\u00e1ficas y farmacol\u00f3gicas del paciente, as\u00ed como las distintas fuentes de informaci\u00f3n (fuera y dentro del entorno asistencial) de las que el paciente dispone. Se propone as\u00ed mismo, la evaluaci\u00f3n del uso, la legibilidad y la comprensi\u00f3n de los prospectos.  para ello, se emple\u00f3 como herramienta una encuesta dise\u00f1ada a tal efecto que recog\u00eda variables sociodemogr\u00e1ficas del paciente, datos sobre el tipo de medicaci\u00f3n y duraci\u00f3n del tratamiento, sobre la legibilidad del prospecto (calculada mediante el \u00edndice flesch-szigriszt y el grado en al escala inflesz), as\u00ed como el conocimiento del paciente acerca de la medicaci\u00f3n (cpm). Se plante\u00f3 un estudio observacional descriptivo transversal y con car\u00e1cter prospectivo. El periodo de recogida de datos fue de enero a diciembre de 2011. La poblaci\u00f3n de estudio estuvo compuesta por pacientes o cuidadores que acudieron a la farmacia con recetas prescritas por un profesional de sistema nacional de salud. El tama\u00f1o de la muestra, compuesta por 450 usuarios, fue calculado para una precisi\u00f3n del 4% y un nivel de confianza del 95%.  la muestra, con un 81,1% de pacientes y un 18,9% de cuidadores, present\u00f3 una media de edad de 54,21 a\u00f1os (sd: 16,86; rango: 15-88), siendo el 66% mujeres. El 8,4% no ten\u00eda estudios, el 35,6% ten\u00eda estudios primarios, el 32% estudios secundarios y el 24% estudios superiores. Un 27,3% estaban polimedicados. El 51,1% de los encuestados no conoc\u00eda el medicamento que le hab\u00eda sido prescrito, el 25,3% presentaba un conocimiento insuficiente, el 23,3% ten\u00eda un conocimiento suficiente, y un 0,2% (un paciente) present\u00f3 un conocimiento \u00f3ptimo. Tras la evaluaci\u00f3n del conocimiento por dimensiones: fue el proceso de uso lo m\u00e1s conocido por el paciente (64,4%), seguido de la conservaci\u00f3n (48%) y el objetivo      terap\u00e9utico (41,6%). Ning\u00fan paciente supo contestar correctamente a todas las cuestiones relativas a la seguridad. Tras el an\u00e1lisis de regresi\u00f3n log\u00edstica, se hallaron como factores asociados significativamente al cpm (conocimiento del paciente acerca de la medicaci\u00f3n), el nivel de estudios del paciente y la lectura del prospecto. Un 69,8% de los pacientes que repet\u00edan la medicaci\u00f3n afirm\u00f3 haber buscado informaci\u00f3n fuera del entorno asistencial, siendo el prospecto, con un 89,1% de los casos, la fuente m\u00e1s referida. Respecto a la legibilidad sint\u00e1ctica de los prospectos analizados, la media del \u00edndice de flesch szigriszt se situ\u00f3 en 57,38 (desviaci\u00f3n t\u00edpica de 4,93), correspondiendo a un nivel de legibilidad normal, seg\u00fan la escala de inflesz, si bien, un 27,5% de los prospectos se situaban en un nivel de legibilidad algo dif\u00edcil y un 0,5% en un nivel de legibilidad muy dif\u00edcil.   \ta nivel global, podemos concluir con que 3 de cada 4 pacientes no presentan un conocimiento suficiente acerca del medicamento que le ha sido prescrito. Leer el prospecto (fuente de informaci\u00f3n principal referida por el paciente, fuera del entorno asistencial) disminuye 1,5 veces el riesgo de desconocer la medicaci\u00f3n. Y en lo que respecta al nivel de estudios los sujetos sin estudios tienen 3,5 veces m\u00e1s riesgo de no conocer el medicamento en comparaci\u00f3n con los pacientes con estudios universitarios. La dimensi\u00f3n de  seguridad es la menos conocida por el paciente, por lo que debiera ser puesta especial atenci\u00f3n en la redacci\u00f3n \u00f3ptima y efectiva de los prospectos en relaci\u00f3n a precauciones, efectos adversos, contraindicaciones e interacciones. La figura del farmac\u00e9utico comunitario, como \u00faltimo profesional sanitario al que el paciente tiene acceso antes de tomar su medicaci\u00f3n, debiera tomar un papel m\u00e1s activo como fuente de informaci\u00f3n al paciente.   abstract  the aim of this phd research is to assess the factors which influence the patient knowledge of prescribed medication, analyzing sociodemographic and pharmacological variables of the patient, as well as different information sources ( in and outside the care environment) available to patients. It is therefore proposed the assessment of use, legibility and comprehension of the information package leaflet.  a survey designed to that effect was used and it included sociodemographic variables of the patient, information of type of medication and length of the treatment, legibility of the information package leaflet (calculated by means of the flesch-szigriszt coefficient and inflesz scale degree), as well as patient prescribed medication knowledge. A prospectively observational, cross-sectional descriptive study was outlined. The data collection period was january- december 2011. The study population comprises patients and caregivers that went to the pharmacy with medical prescriptions issued by professionals of the spanish health care system. The sample size, 450 users, was calculated for 4% accuracy and a 95% confidence level.  the representative sampling of 81,1% patients and 18,9% caregivers, shows an average age of 54,21 years old (sd: 16,86; range: 15-88), being 66% women. The 8,4% without studies, the 35,6% with primary education, 32% secondary studies and 24% with higher education. A 27,3% was multimedicated. The 51,1% of the respondent did not know the medication prescribed to him, and 25,3% had an  unsatisfactory knowledge,  23,3% had a sufficient knowledge and  0,2% (just one patient)  had a optimum knowledge. Following the assessment of knowledge by dimensions the process of using was the best well known by the patient (64,4%),  followed by the conservation (48%) and the therapeutic target. None of the patients answered all questions referred to security correctly. Examined the regression analysis employed, the factors significantly associated to patient prescribed medication knowledge founded were: patient&apos;s level of studies and reading of the package leaflet.  69,8% of the patients who repeated the medication treatment confirmed to have looked for information out of the care environment, being the information package leaflet, with 89,1%, the most referred source.  regarding package leaflet legibility, flesch-szigriszt coefficient was at 57,38 (standard deviation of 4,93%), corresponding to a normal legibility level according to the inflesz scale. Nevertheless, 27,5% of the package leaflet was in a level of little difficult legibility , and 1% of very difficult legibility level .  \ton a global level, it can be concluded that 3 of 4 patients have insufficient knowledge about the prescribed medication. Reading the package leaflet (principal source of information referred by the patient, out of the care environment) decrease 1,5 times the risk to unknown the medication prescribed. Regarding level of studies, individuals without studies have 3,5 higher risk to unknown the medication prescribed if compared with individuals with university studies. Security scope is the least well-known by the patient, and therefore should be emphasized with an optimal and effective writing of the package leaflet as it refers to special precautions, adverse effects, contraindications and interactions. The figure of the community pharmacist, as the latest health professional before the patient takes the medication prescribed, should take a more active role as a source of information for the patient.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Conocimiento del paciente acerca de la medicaci\u00f3n prescrita: influencia de las fuentes de informaci\u00f3n y legibilidad de los prospectos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Conocimiento del paciente acerca de la medicaci\u00f3n prescrita: influencia de las fuentes de informaci\u00f3n y legibilidad de los prospectos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Araceli Clavel Rojo <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/07\/2013<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Miguel Motas Guzman<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: aurelio Luna maldonado <\/li>\n<li>isabel Tovar zapata (vocal)<\/li>\n<li>carmen Rubio armendariz (vocal)<\/li>\n<li>cesar Ordo\u00f1ez pascua (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Araceli Clavel Rojo Resumen como objetivo de este trabajo, se plantea estudiar los factores que influyen sobre [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9740,8235,36711],"tags":[226840,3274,62755,154596,25063,167405],"class_list":["post-114436","post","type-post","status-publish","format-standard","hentry","category-farmacos-sinteticos","category-murcia","category-servicios-sanitarios","tag-araceli-clavel-rojo","tag-aurelio-luna-maldonado","tag-carmen-rubio-armendariz","tag-cesar-ordonez-pascua","tag-isabel-tovar-zapata","tag-miguel-motas-guzman"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/114436","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=114436"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/114436\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=114436"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=114436"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=114436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}