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| 某三甲医院门诊患者用药行为与知识需求状况调查 |
| Investigation of Medication Behavior and Demands on Safety Medication in Outpatients |
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| DOI： |
| 中文关键词: 门诊患者 用药行为 知识 安全用药 合理用药 |
| 英文关键词:Safety medication Outpatient Medication behavior Knowledge demands |
| 基金项目:江苏高校品牌专业建设工程资助项目（编号：PPZY2015A067）；江苏省高等学校大学生实践创新训练计划立项项目（编号：201710312046） |
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| 中文摘要: |
| 摘 要 目的：了解南京地区某三甲医院门诊患者用药行为及对合理用药知识的需求状况，为开展针对性健康教育提供依据。方法：2017年4～6月，采用类似机械抽样和自填式问卷调查方式对某三甲医院门诊候诊人员开展调查，并对结果进行统计描述。结果：共发放问卷700份，回收644份（有效应答率92.8%）。被调查对象多为女性（58.2%），平均年龄（30.7±11.4）岁。调查结果显示36.2%的被调查对象身体出现轻微不适时会自行用药，未见好转再就医；37.6%会根据自身感觉增减药量；效果不明显时7.8%会自行换药；63.3%用药前每次都阅读说明书，阅读内容主要是药品用法用量（79.0%）；用药过程中出现不适时82.0%会去医院就诊；78.6%曾进药店自行买药，选药依据是自身经验（52.2%）和医生处方（50.1%）；92.7%表示一律不用过期药物；84.3%表示了解和获取合理用药知识的主要途径是医生咨询；88.3%没有参加过任何合理用药知识讲座或培训；66.3%认为很有必要对公众进行培训，68.5%认为应该由医院来举办该培训。结论：门诊患者安全用药认知和行为方面尚存在一些不足之处，应加强对公众安全用药知识的健康教育。 |
| 英文摘要: |
| ABSTRACT Objective:To study outpatients’ medication behavior and demands on safety medication, and provide some reference for health education. Methods:From April to June in 2017, a self administered questionnaire survey was conducted in outpatients by similar mechanical sampling from a grade A class 3 hospital in Nanjing, and the results were statistically described. Results:644 questionnaires were finally taken back and checked to be valid (effective response rate of 92.8%). Most of the respondents were women (58.2%) and mean age was （30.7±11.4） years. The results showed that 36.2% of the respondents would firstly take self medication when they filt slightly discomfort. 37.6% would increase or decrease the dose based on their own sense. 7.8% would change the drugs when the effect was not obvious. 63.3% would read the instructions before taking drugs. 78.6% had been to pharmacy to buy drugs, and the selection of drugs was based on their own experience (52.2%) or the doctor's prescription (50.1%). 92.7% said that they never taken expired drugs. 84.3% respondents said that the main way to obtain knowledge of reasonable medication was medical consultation. 88.3% did not participate in any reasonable medication knowledge training. 66.3% considered it necessary to train the public about safety medication, and 68.5% thought that the training should be conducted by the hospital. Conclusion:There were still some shortcomings in the cognitive and behavioral aspects of safety medication in outpatients, and health education should be strengthened for public safety medication. |
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