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KMID : 0869620000170040512
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Journal of Korean Society of Hospital Pharmacists
2000 Volume.17 No. 4 p.512 ~ p.526
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Comparison of Knowledgement and Attitude of Narcotic Analgesics Use between Doctors, Nurses and Pharmacists
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Abstract
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Narcotic analgesics has been known as representitive drugs for pain control n terminally ill patient with palliative care, narcotic analgesics use is most effective and best, way to reduce pain in that patients However many patients are poorly complient with narcotic analgesics for lack of knowledgement of narcotics effect, perception of addictive drug, tolerence and adverse reaction. In addition to many doctors do not choose the adequate narcotics according to pain severity. It has been reported that effective pain management has not been achieved by doctors and nurses because of shortness of knowledgement of narcotic use on administration.
This study was performed to identify pharmacist knowledgement of narcotic analgesics in respect that the pharmacist are responsible for patient education of narcotic medication, to identify the barrjers of narcotic dispensing and administration and then to compare the knowledgement between doctors, nurses and pharmacist.
At first we surveyed the pharmacist´s knowledgement and attitude by written questionnaire in SNUH in Sep. 2000, and then we compared this result and doctors and nurses´ result has been taken already in SNUH in May 1999.
The questionnaires are composed of narcotics classification 11, narcotic pharmacology 8, narcotic administration 5, more detail question 15 cited in Elliot study.
The result is analysed by average, S.D., frequency, percentile, comparison of knowledgement of doctors, nurses and pharmacist is analysed by paire t-test, ANOVA.
As a result, the pharmacist group has higher average in knowledgement of narcotic analgesics, however it was not different from doctor and nurse´s significantly. According to result of attitude analysis, 48% of pharmacist has been hesitated in dispensing and administration of narcotics, that was because of the difficulty in management of narcotic prescription (25%).
The role of pharmacist in pain management of patients who take narcotic analgesics is very important and great. We ought to obtain a certain of accurate knowledgement of narcotic analgesic use and perform a effective and responsible medication education and counseling.
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KEYWORD
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