摘要
目的调查儿童监护人关于腹泻用药知识、态度及行为(KAP)现状,分析儿童腹泻居家用药认知的影响因素,为后期提高儿童腹泻居家治疗的合理用药水平提供循证依据。方法使用方便抽样的方法,问卷利用线上问卷星方式,调查西安交通大学第二附属医院儿科药房取药患者的基本信息、儿童腹泻用药知识水平、用药态度及用药行为等资料。采用多元线性回归分析研究儿童监护人腹泻用药知识的影响因素。结果最终回收问卷309份,得到有效问卷297份,回收率为96.1%。儿童监护人腹泻用药知识水平较低,用药行为风险高,用药态度良好。儿童监护人的用药知识得分在不同个人月收入、居住地、受教育程度、职业类型和工作状态中存在显著差异,不同职业中医务人员的知识得分最高。多元线性回归显示,仅有职业类型中医务人员和自由职业对儿童监护人的腹泻用药知识得分有显著性影响(P<0.05),相比职业中的其他组别,医务人员和自由职业工作者的知识得分分别高出3.566、1.620分。结论儿童监护人关于腹泻居家用药风险较高,建议采用线上线下结合的方式(医院合理用药咨询门诊、自媒体科普宣传等)对儿童监护人进行用药教育,特别是针对农村居民开展腹泻等儿童常见病的合理用药知识宣传。
Objective To investigate the current status of child caregivers'knowledge-attitude-practice(KAP)of diarrhea medication,to analyze the influencing factors of their cognition level,therefore to provide evidence-based evidence for improving rational use of diarrhea medication for children at home.Methods Convenient sampling method was adopted and self-made questionnaires were used to investigate the basic information of patients who came to the pediatric pharmacy of the Second Affiliated Hospital of Xi’an Jiaotong University to take medicine,knowledge of children’s diarrhea medication,information on medication attitude and behavior.Multiple linear regression analysis was used to study the influencing factors of child caregivers'diarrhea medication knowledge,and to analyze the correlation among caregivers'diarrhea medication knowledge,attitude and behavior.Results 309 questionnaires were finally recovered,and 297 valid questionnaires were obtained,with a recovery rate of 96.1%.Child caregivers showed low level of knowledge about medication for diarrhea,high risk of medication behavior,and good attitude toward medication.Child caregivers'medication knowledge scores were significantly different among groups of people with different personal monthly income,residence,education level,occupation type,and work status,while medical staff showed the highest knowledge scores.Multiple linear regression showed that only occupational types of medical staff and freelancers had a significant impact on parents'diarrhea medication knowledge score(P<0.05).Compared with other occupational groups,the knowledge scores of medical staff and freelance workers were 3.566 and 1.620 points higher,respectively.Conclusion Child caregivers have high risk of medication for diarrhea.It is recommended to use online and offline methods,including the development of rational medication consultation clinics in hospitals,and the use of self-media to conduct popular science publicity to educate parents about medications.It is urgent to carry out propaganda on rational drug use for rural residents.
作者
沈倩
刘婷
张向辉
康力敏
李友佳
余静洁
SHEN Qian;LIU Ting;ZHANG Xianghui;KANG Limin;LI Youjia;YU Jingjie(Department of Pharmacy,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,China)
出处
《西北药学杂志》
CAS
2022年第5期164-168,共5页
Northwest Pharmaceutical Journal
基金
陕西省自然科学基金项目(编号:2021JQ-425)。
关键词
用药风险
腹泻
儿童监护人
影响因素
medication risk
diarrhea
child caregivers
influencing factors