Showing 5 results for Medication
Fatemeh Ghasemi , Fatemeh Valizadeh , Marziye Moemen Nasab ,
Volume 10, Issue 2 (1-2009)
Abstract
Ghasemi SF¹, Valizadeh F¹, Moemen Nasab M2 1. Instructor, Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences 2. Instructor, Department of Internal and Surgical Nursing, Faculty of Nursing and Midwifery, Lorestan University of Medical Sciences Abstract Background: Medication errors are the most common avoidable causes of iatrogenic injuries in patients. One out of every three medication errors occurs when a nurse prescribes drug to a patient. Since medication instructions are among the most important parts in the patients treatment process, their inappropriate application can lead to many serious consequences such as incomplete or incorrect therapy, as well as legal problems. The present study was carried out to verify the knowledge and attitude of nurses regarding medication error, and its prophylactic ways in educational and therapeutic hospitals of Khorramabad in 2005. Materials and methods: The samples of this descriptive cross-sectional study included 86 randomly selected nurses who worked in educational and therapeutic hospitals of Khorramabad in 2005. Data collection instruments were a questionnaire and the structured interview. The collected data were analyzed using SPSS software (version 13), Chi-square and descriptive statistic test. Results: Analyzing the data indicated that the nurses stated the moot important causes of medication errors as follows: inadequate number of nurses (100%), night and repeated long shifts (83.7%), personal problems of the nurses (79.9%), presence of the patients’ attendants and crowded wards (79.9%), and inappropriate environmental conditions of the wards (73.3%). Fear of receiving reprimands and punishment (88.4%), triviality of errors (57%), and unsupportive attitude of the nursing officials (50%) were the most frequently cited reasons for not reporting the medication errors. Moreover, adequate nurse to patient ratio (98.8%), staff continuing education (96.5%), and adequate information about medications (69.8%) were reported as the most important ways to prevent medication errors. Also 62.8% of the cases had moderate knowledge regarding medication error and its prophylactic ways. Conclusion: The data analysis showed that from the nurses viewpoints, some interventions including increasing adequate nurse to patient ratio, improving environmental conditions of work, reducing environmental distractions such as interruptions and stressors, increasing staffs’ information about medications, increasing the role of clinical pharmacologists, creating medication error reporting systems, supportive attitude of nursing officials, focusing on causes of errors, and improving controlling and supervising systems can have remarkable effects on reducing medication errors. Moreover, both individuals and systems have to be taken into consideration when rules and regulations concerning medication error reporting and prevention are made.
Afsaneh Badrizadeh, Hasan Rezaii Jamaloi, Mostafa Khanzadeh, Saeid Foroughi, Mandana Saki,
Volume 23, Issue 2 (5-2021)
Abstract
Background: One of the public health challenges in the worldwide is diabetes, and adherence to treatment is crucial. Adherence to treatment can help reduce the complications of the disease. Therefore, this study was performed to evaluate the status of adherence to treatment among patients with type 2 diabetes in Khorramabad.
Materials and Methods: In this cross-sectional study, 392 men and women with type 2 diabetes referred to comprehensive health centers in Khorramabad between May and August 2016 were studied. Demographic questionnaire and Morisky Medication Adherence Scale (MMAS-8) were used to collect data. Version 22 SPSS and descriptive analysis were used to analyze the data. Significance level in the present study was less than 0.05. Descriptive tests, Chi-square, Fisher's exact test, and independent t-test were used.
Results: The mean age of study participants was 56.03 ± 10.91. 68.9% (270 people) were women and 31/1% (122 people) were men. According to the score obtained from the Morisky questionnaire, a total of 219 patients (55/9%) followed the desired treatment and 173 (44/1%) followed the unfavorable treatment. There was a significant relationship between patients' adherence to treatment with the variables of gender, marital status, educational status, and their monthly income. No statistically significant between age and employment status with adherence to treatment were observed.
Conclusion: Findings of this study showed that adherence to treatment among patients with type 2 diabetes in Khorramabad is in a good level. Health policy makers should strive to ensure that all patients adhere to their treatment process with easy access to services and reduced costs.
Afsaneh Badrizadeh, Hasan Rezaii Jamaloi, Mostafa Khanzadeh, Saeid Foroughi, Mandana Saki,
Volume 23, Issue 3 (8-2021)
Abstract
Background: According to the growing prevalence of type 2 diabetes, the present study aimed to predict adherence to treatment based on social support variables and coping strategies to reduce the severity of this disease.
Materials and methods: In this cross-sectional study, 392 men and women with type 2 diabetes were evaluated using purposeful and convenient sampling. Wax social support and the Blings and Moss coping strategies questionnaire were used. Data were analyzed using SPSS software (version 22), descriptive statistics (frequency, percentage, and mean), and inferential statistics (Pearson correlation coefficient and regression analysis).
Results: The results indicated that the correlation between the subscales of social support and coping strategies with adherence to drug therapy was significant (P<.01). These measures could predict more than 27%) 27.1( of changes in compliance with drug treatment.
Conclusion: Social support and coping strategies can be two effective factors in promoting self-care behaviors and adherence to treatment in patients with diabetes. Including these strategies in educational, treatment, and care programs improves health and reduces long-term complications of the disease to increase the life expectancy of patients.
Ali Kharazmkia, Mahmoudreza Moradkhani, Abbas Asadi, Shahram Ahmadi Somaghian,
Volume 25, Issue 4 (2-2024)
Abstract
Background: Arbitrary use of drugs not only leads to failure to treat the disease but also leads to drug complications, inconsistency of prevalence of diseases in the country with the amount of drug consumption and the problem of indiscriminate drug consumption in the pharmaceutical system of the country. Therefore, this study was conducted with the aim of investigating self-inflicted medication use factors influencing it among patients admitted to Shahid Rahimi Hospital, Khorramabad.
Materials and Methods: This study was conducted on 381 patients of Shahid Rahimi Hospital, Khorramabad in winter 2021. A simple random sample was drawn and the information of the individuals was collected using a questionnaire. Descriptive statistics were used to summarize the demographic information and a t-test was conducted using SPSS 23 software for comparisons.
Results: According to the results of this study, the average age of people was 34.322±11.438 years. The percentage of arbitrary drug use was 25.3%. The percentage of self -administered medication was 56.8% for painkillers and 56.2% for multivitamins, 71.2% for cold and flu patients and 38% for chronic and acute headaches. The most important reasons for self-medication are, in this order, the higher quality of foreign medicines compared to Iranian medicines and the use of medicinal plants, and the least important reasons for self-medication are fear and shame of medical examinations, lack of trust in doctors' medicine, taking medicines during illness on the advice of acquaintances and the use of previous doctors' prescriptions were mentioned.
Conclusion: Given the high prevalence of self-inflicted drug use, it is suggested that various educational programs be implemented by appropriate organizations, including the Ministry of Health, Treatment and Medical Education, medical centers, and mass media to reduce the factors identified in this study.
Seyed Sajad Hosseini Vahed, Hadi Hayati, Ahmad Adineh, Forouzan Ahmadpour,
Volume 26, Issue 1 (4-2024)
Abstract
Background: Medication errors are among the most important medical errors that can be prevented to avoid significant financial and life-threatening damages. The present study aimed to utilize the Failure Mode and Effect Analysis (FMEA) technique as a preventive measure to identify and assess the risk of medication errors and explore their correlation with demographic factors.
Materials and Methods: A descriptive-analytical approach was employed to evaluate medication errors in 2023 at Mehr Psychiatric Hospital in Khorramabad, Iran, using a qualitative-quantitative methodology and the FMEA technique. Data collection involved a safety checklist and adherence to standard work instructions. The analysis of error rates was conducted using the Risk Priority Number (RPN) to ascertain the level of risk associated with medication errors.
Results: The findings revealed 59 medication errors across 13 areas, with the highest error in obtaining a complete medical history and the lowest in transferring medication to a box. The average total risk score (RPN) was calculated to be 10.16. Moreover, the present research investigated the relationship between RPN scores and demographic variables and identified a significant association solely with the type of ward (P<0.001).
Conclusion: The study underscores the importance of mitigating medication errors through preventive strategies such as thorough patient history documentation, error identification, prioritization, and the implementation of appropriate solutions to reduce financial and human costs associated with treatment.
