妊娠期妇女用药知识、态度、行为的调查分析
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摘要
目的调查妊娠期妇女用药知识、态度、行为情况。方法对503例孕妇采用用药知识、态度、行为问卷进行现场调查,根据答题结果评估妊娠期妇女用药知识、态度、行为情况。结果调查人群关于中药问题(93.24%)、孕期医生开药服用与否问题(86.48%)、叶酸作用问题(84.84%)、叶酸最佳服用时期问题(61.89%)的答对率较高,而自行购买补药问题(4.71%)、骨汤与钙剂作用问题(29.71%)、妊娠期服药最影响胎儿问题(37.91%)、何时补钙问题(45.70%)与部分药物对胎儿造成影响问题(48.77%)答对率相对较低。调查人群关于主动了解相关知识态度为83.61%;关于知识获取途径较为分散,其中以咨询医生最多(43.24%);生病后获取药物途径绝大多数对象态度为按医嘱获取与服药(79.10%);不了解用法与用药,大多数对象态度则是选择咨询医生(64.34%)与查阅说明书(27.66%);关于服药前说明书阅读的态度,多数对象会仔细阅读(67.83%),但也有部分对象仅看用法与用量(29.51%)。调查人群用药例数达971例次,说明部分患者采用多种药物摄入,其中以维生素(45.01%)与钙剂(31.20%)为主要用药选择,中药及其成分药(5.46%)、激素及其衍生药物(4.64%)、外用药(4.53%)、抗生素(4.02%)、解热镇痛药(2.57%)与其他药物(2.57%)摄入较少。结论根据本院妊娠期妇女安全用药知识、态度、行为调查情况,综合施加相应用药知识宣教,建立用药登记制度,合理干预用药行为,为妊娠期妇女安全用药提供有益信息。
Objective To investigate drug knowledge,attitude and behavior of women during pregnancy.Methods Medication knowledge,attitudes and behaviors of 503 pregnant women admitted to our hospital were investigated by questionnaire,and the above questions were evaluated according to questionnaire results.Results The investigated people had higher correct rate in traditional Chinese medicine(93.24%),whether the doctor prescribe medicine during pregnancy(86.48%),folic acid function(84.84%),and the best time for administration of folic acid(61.89%),and lower correct rate in self-purchased tonic drugs(4.71%),function of bone soup and calcium(29.71%),the role of gestational dosage in affecting fetus(37.91%),time for calcium supplementation(45.70%) and impact of some medicines on fetus(48.77%).The percentage of initiative aware of the relevant knowledge of surveyed population was 83.61%,but the access to knowledge was relatively dispersed.Most of investigators mainly consulted doctor(43.24%),or gained drugs from doctors and followed the doctors' advice(79.10%).Most attitudes was to consult a doctor(64.34%) or check drug instructions(27.66%) when unaware of of usage and medication.Most subjects would carefully read prescription before administration(67.83%),but some only consulted usage and dosage(29.51%).The number of drug use reached 971 times,indicating that some patients administrated multiple drug intake,including main drugs such as vitamins(45.01%) and calcium(31.20%),while few intake of Chinese medicine and its component drugs(5.46%),hormones and their derived drugs(4.64%),external drugs(4.53%),antibiotics(4.02%),antipyretic analgesics(2.57%)and other drugs(2.57%).Conclusion According to the knowledge,attitudes and behaviors of pregnant women in our hospital during the pregnancy period,knowledge education of medical administration,drug registration system,and rational intervention in drug use behavior in combination can be favorable in safety of drug use.
Objective To investigate drug knowledge,attitude and behavior of women during pregnancy.Methods Medication knowledge,attitudes and behaviors of 503 pregnant women admitted to our hospital were investigated by questionnaire,and the above questions were evaluated according to questionnaire results.Results The investigated people had higher correct rate in traditional Chinese medicine(93.24%),whether the doctor prescribe medicine during pregnancy(86.48%),folic acid function(84.84%),and the best time for administration of folic acid(61.89%),and lower correct rate in self-purchased tonic drugs(4.71%),function of bone soup and calcium(29.71%),the role of gestational dosage in affecting fetus(37.91%),time for calcium supplementation(45.70%) and impact of some medicines on fetus(48.77%).The percentage of initiative aware of the relevant knowledge of surveyed population was 83.61%,but the access to knowledge was relatively dispersed.Most of investigators mainly consulted doctor(43.24%),or gained drugs from doctors and followed the doctors' advice(79.10%).Most attitudes was to consult a doctor(64.34%) or check drug instructions(27.66%) when unaware of of usage and medication.Most subjects would carefully read prescription before administration(67.83%),but some only consulted usage and dosage(29.51%).The number of drug use reached 971 times,indicating that some patients administrated multiple drug intake,including main drugs such as vitamins(45.01%) and calcium(31.20%),while few intake of Chinese medicine and its component drugs(5.46%),hormones and their derived drugs(4.64%),external drugs(4.53%),antibiotics(4.02%),antipyretic analgesics(2.57%)and other drugs(2.57%).Conclusion According to the knowledge,attitudes and behaviors of pregnant women in our hospital during the pregnancy period,knowledge education of medical administration,drug registration system,and rational intervention in drug use behavior in combination can be favorable in safety of drug use.
引文
[1]熊建群,何珍,高晓波.我院中成药说明书关于妊娠期及哺乳期妇女用药信息的调查[J].实用药物与临床,2015,18(9):1133-1135.
[2]李心蕾.490份药品说明书孕期安全用药信息调查分析[J].中国药学杂志,2013,48(21):1886-1888.
[3]Hassoun-Barhamji R,Raia B T,Chauleur C.In the Era Of Self-Medication,What Do Pregnant Women Know about Anti-Inflammatory Drugs?[J].Therapie,2015,70(4):369-376.
[4]张金环,魏文华,曹建英,等.166例药品不良反应报告分析[J].中国医院用药评价与分析,2014,14(3):260-262.
[5]韩朝宏,冯欣,唐红波,等.550例妊娠期妇女用药情况调查分析[J].中国药物警戒,2012,9(9):558-559.
[6]Yasseen A R,Fell D B,Sprague A E,et al.Antiviral medication use in a cohort of pregnant women during the 2009-2010 influenza pandemic[J].J Obstet Gynaecol,2015,35(6):551-554.
[7]Baraka M,Steurbaut S,Coomans D,et al.Determinants of medication use in a multi-ethnic population of pregnant women:a cross-sectional study[J].Eur J Contracept Reprod Health Care,2014,19(2):108-120.
[8]林玉仙,熊建华,杨金招,等.关于开设“妊娠期用药风险评估与沟通药师门诊”的思考[J].中国药师,2014,17(10):1733-1736.
[9]张万智,王畅.孕妇用药药学服务的要点分析[J].临床合理用药杂志,2013,6(3):41-42.
[10]杨勇,黄晓英.妊娠期用药咨询专科门诊的设立与运行[J].中国医药,2013,8(11):1656-1657.
[11]Palmer S,Pudwell J,Smith G N,et al.Optimizing Participation of Pregnant Women in Clinical Trials:Factors Influencing Decisions About Participation in Medication and Vaccine Trials[J].J Obstet Gynaecol Can,2016,38(10):945-954.
[12]房嫣,崔恒菁,杨婉花.我院门诊妊娠患者处方点评及用药合理性分析[J].中国药师,2016,19(3):527-529.
[13]杜琳,舒畅,石锐,等.临床药师参与妊娠哺乳期药学服务案例分析[J].医药导报,2017,36(12):1429-1431.
[14]Bohio R,Brohi Z P,Bohio F.Utilization of over the counter medication among pregnant women;a cross-sectional study conducted at Isra University Hospital,Hyderabad[J].J Pak Med Assoc,2016,66(1):68-71.
[15]江少坤,孟婧婧,林慧文,等.多维铁口服溶液与多糖铁复合物胶囊治疗妊娠期缺铁性贫血的成本-效果分析[J].中国药房,2016,27(20):2743-2745.
[16]崔铭萱,李伟,马良坤,等.ABCG5/8基因microRNA结合位点多态性与妊娠期糖脂代谢相关[J].基础医学与临床,2017,37(5):682-686.
[17]董微,陈丽红,尹利荣,等.妊娠中期OGTT正常的孕妇妊娠晚期体质量增长过快对妊娠期并发症及围生期结局的影响[J].实用妇产科杂志,2017,33(11):852-855.
[18]郑建盛,连雪冰,杨丽全,等.家庭因素对高龄二胎妊娠期妇女睡眠质量的影响[J].实用医学杂志,2017,33(21):3650-3654.
[19]彦琪,黄永彤,朱小利,等.非妊娠期和妊娠期妇女宫颈筛查的临床研究[J].贵州医药,2017,41(9):989-990.
[20]凌洁.糖尿病患者用药咨询分析与指导[J].医学信息,2015,29(z1):411-412.
[2]李心蕾.490份药品说明书孕期安全用药信息调查分析[J].中国药学杂志,2013,48(21):1886-1888.
[3]Hassoun-Barhamji R,Raia B T,Chauleur C.In the Era Of Self-Medication,What Do Pregnant Women Know about Anti-Inflammatory Drugs?[J].Therapie,2015,70(4):369-376.
[4]张金环,魏文华,曹建英,等.166例药品不良反应报告分析[J].中国医院用药评价与分析,2014,14(3):260-262.
[5]韩朝宏,冯欣,唐红波,等.550例妊娠期妇女用药情况调查分析[J].中国药物警戒,2012,9(9):558-559.
[6]Yasseen A R,Fell D B,Sprague A E,et al.Antiviral medication use in a cohort of pregnant women during the 2009-2010 influenza pandemic[J].J Obstet Gynaecol,2015,35(6):551-554.
[7]Baraka M,Steurbaut S,Coomans D,et al.Determinants of medication use in a multi-ethnic population of pregnant women:a cross-sectional study[J].Eur J Contracept Reprod Health Care,2014,19(2):108-120.
[8]林玉仙,熊建华,杨金招,等.关于开设“妊娠期用药风险评估与沟通药师门诊”的思考[J].中国药师,2014,17(10):1733-1736.
[9]张万智,王畅.孕妇用药药学服务的要点分析[J].临床合理用药杂志,2013,6(3):41-42.
[10]杨勇,黄晓英.妊娠期用药咨询专科门诊的设立与运行[J].中国医药,2013,8(11):1656-1657.
[11]Palmer S,Pudwell J,Smith G N,et al.Optimizing Participation of Pregnant Women in Clinical Trials:Factors Influencing Decisions About Participation in Medication and Vaccine Trials[J].J Obstet Gynaecol Can,2016,38(10):945-954.
[12]房嫣,崔恒菁,杨婉花.我院门诊妊娠患者处方点评及用药合理性分析[J].中国药师,2016,19(3):527-529.
[13]杜琳,舒畅,石锐,等.临床药师参与妊娠哺乳期药学服务案例分析[J].医药导报,2017,36(12):1429-1431.
[14]Bohio R,Brohi Z P,Bohio F.Utilization of over the counter medication among pregnant women;a cross-sectional study conducted at Isra University Hospital,Hyderabad[J].J Pak Med Assoc,2016,66(1):68-71.
[15]江少坤,孟婧婧,林慧文,等.多维铁口服溶液与多糖铁复合物胶囊治疗妊娠期缺铁性贫血的成本-效果分析[J].中国药房,2016,27(20):2743-2745.
[16]崔铭萱,李伟,马良坤,等.ABCG5/8基因microRNA结合位点多态性与妊娠期糖脂代谢相关[J].基础医学与临床,2017,37(5):682-686.
[17]董微,陈丽红,尹利荣,等.妊娠中期OGTT正常的孕妇妊娠晚期体质量增长过快对妊娠期并发症及围生期结局的影响[J].实用妇产科杂志,2017,33(11):852-855.
[18]郑建盛,连雪冰,杨丽全,等.家庭因素对高龄二胎妊娠期妇女睡眠质量的影响[J].实用医学杂志,2017,33(21):3650-3654.
[19]彦琪,黄永彤,朱小利,等.非妊娠期和妊娠期妇女宫颈筛查的临床研究[J].贵州医药,2017,41(9):989-990.
[20]凌洁.糖尿病患者用药咨询分析与指导[J].医学信息,2015,29(z1):411-412.