Pharmaceutisch Weekblad

, Volume 14, Issue 4, pp 174–179 | Cite as

Knowledge of medication in hospitalized chronic respiratory patients

  • Joan Altimiras
  • Josep M. Borras
  • Elvira Mendez
  • Esther Pastor
  • Teresa Bassons


Object of the study was to assess educative needs in the field of drug therapy among 99 chronic patients with advanced chronic lung disease admitted to the Respiratory Service of the Hospital Sta. Creu i Sant Pau (Barcelona, Spain). The knowledge of the patients about their previous drug treatment, sources of information as well as patients' conception of side-effects, was gathered from medical records and by means of a questionnaire. The majority of patients studied were male (63%), aged over 60 years (average 63±12), illiterate or with basic education (88%), had a chronic obstructive, pulmonary disease (76%) and with an important degree of chronicity. They had been treated for their condition during a mean of 8.4 years and took an average of 4.6 drugs. 31% Of patients did not answer any question about their medication properly and only 17% gave a correct answer to all the questions. The lower the age and the higher the educational level, the higher the proportion of correct answers to knowledge questions. 35% Of the patients stated not to have been informed about their medication and 55% stated that they had read the patient package inserts.


Drug therapy Hospitalization Lung diseases, obstructive Patient compliance Patient education Side effects 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Haynes RB. Patient compliance then and now [editorial]. Patient Educ Counsel 1987;10:103–5.Google Scholar
  2. 2.
    Haynes RB. Determinants of compliance: the disease and the mechanics of treatment. In: Haynes RB, Taylor PW, Sackett DC, eds. Compliance in health care. Baltimore: Johns Hopkins University Press. 1979:49–63.Google Scholar
  3. 3.
    Mullen PD, Green LW, Persinger GS. Clinical trials of patient education for chronic conditions. A comparative meta-analysis of intervention types. Prev Med 1985;14:753–81.PubMedGoogle Scholar
  4. 4.
    Haynes RB, Wang E, Da Mota Gomes M. A critical review of interventions to improve compliance with prescribed medications. Patient Educ Counsel 1987;10:155–66.Google Scholar
  5. 5.
    Trilla M, Garrell E, Alberin M. Programa de Educacion para diabéticos integrado en la red de atención primaria a la salud [Educational programme for diabetic patients in Primary Health Care network]. Atencion Prim 1987;5:227–30.Google Scholar
  6. 6.
    Mata M, Monraba M, Travería M, Guarner MA, Antó JM. Ensayo aleatorio controlado de educación sanitaria en pacientes hipertensos en asistencia primaria [A randomized controlled trial of health education in hypertensive patients in Primary Care]. Atencion Prim 1987;4:189–194.Google Scholar
  7. 7.
    Ascione F, Kirscht J, Shimp L. An assessment of different components of patient medication knowledge. Med Care 1986;24:1018–28.PubMedGoogle Scholar
  8. 8.
    Muir Gray. Communicating with elderly people. In: Pendleton D. Doctor-patient communication. London: Academic Press 1983:193–205.Google Scholar
  9. 9.
    Jaspars J, King J, Pendleton D. The consultation: a social psychological analysis. In: Pendleton D, ed. doctorpatient communication. London: Academic Press 1983:139–61.Google Scholar
  10. 10.
    Fitzpatrick R, Scable G. Social class, ethnicity and illness. In: The experience of illness. London: Tavistock, 1984;54–87.Google Scholar
  11. 11.
    Boyle CHM. Difference between patients' and doctors' interpretation of some common medical terms. BMJ 1970;2:286–9.Google Scholar
  12. 12.
    Berg BK, Eckhoff-Biagi P, Herbert P, Rodell A, Sprafkin R. Patient education needs assessment. Constructing a generic guide. Patient Educ Counsel 1987;9:199–207.Google Scholar
  13. 13.
    Holme E, Launso L. Drugs and users — problems and new directions. Health Promotion 1988;3:241–8.Google Scholar
  14. 14.
    Conrad P. The meaning of medications: another look at compliance. Soc Sci Med 1985;20:29–37.PubMedGoogle Scholar
  15. 15.
    Altimiras J, Pastor E, Borras JM. La utilidad de los folietos de información de medicamentos en pacientes crónicos hospitalizados [Usefulness of drug-information leaflets in hospitalized chronic patients]. Gaceta Sanitar 1990;4:18–23.Google Scholar
  16. 16.
    Jonkers R. Effectiveness of health education. In: Mahan K, Tinarelli M, eds. Consultation on evaluation of health education. Venice: International Union for Health Education, 1989:22–37.Google Scholar

Copyright information

© Royal Dutch Association for Advancement of Pharmacy 1992

Authors and Affiliations

  • Joan Altimiras
    • 1
  • Josep M. Borras
    • 2
  • Elvira Mendez
    • 2
  • Esther Pastor
    • 1
  • Teresa Bassons
    • 1
  1. 1.Pharmacy DepartmentHospital de la Sta. Creu i Sant PauBarcelonaSpain
  2. 2.Department of Health of CataloniaBarcelonaSpain

Personalised recommendations