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湖南省永州市农村居民用药安全现状的调查分析
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| 篇名： | 湖南省永州市农村居民用药安全现状的调查分析 |
| TITLE： | |
| 摘要： | 目的：为更好地保证农村居民的用药安全提供参考。方法：随机对湖南省永州市11个县（区）27个乡镇162个村的农村居民就其安全用药行为及相关知识掌握情况进行问卷调查，并对调查数据进行统计和分析。结果：共发放问卷5 670份，回收有效问卷4 376份，有效回收率为77.2％。高达73.6％的受访居民服用两种或多种药物时未考虑药物间的配伍禁忌，且随意增减服药剂量、自行更换药物的发生比例也较高；家庭备有常用药品的受访居民中绝大部分对备用药品的保管不够重视，缺乏基本常识；主要从药店购买药品的受访居民比例最高（占50.7％），另外还有近20％主要通过互联网及其他途径购买药品；受访居民中超过半数完全看不懂药品说明书，用药出现不良反应后超过半数自行停药或更换药品，超过70％完全不清楚或没关注药品的特性和配伍禁忌等。结论：当地农村居民由于自身文化程度不高，安全用药常识较缺乏，加之医疗资源配置不平衡，不合理用药现象广泛存在，用药安全状况不理想，有较大改善空间。 |
| ABSTRACT： | OBJECTIVE： To provide reference for ensuring the medication safety of rural residents well. METHODS： A questionnaire survey was conducted among 162 rural residents of 27 townships in 11 counties （districts） from Yongzhou city of Hunan province. The survey data was analyzed statistically. RESULTS： A total of 5 670 questionnaires were issued and 4 376 valid questionnaires were recovered， with an effective recovery rate of 77.2％. 73.6％ residents did not considered the incompatibility among drugs when receiving two or more drugs； the proportion of increasing or decreasing drug dosage and changing drugs at will was in high level. Most of the residents who had common drugs in the family did not pay enough attention to the custody of the reserved drugs and lacked of basic knowledge； the proportion of residents who bought drugs mainly from pharmacies was the highest （50.7％）； in addition， nearly 20％ bought drugs mainly through the Internet and other ways. More than half of the residents surveyed did not understand the drug instructions； after ADR occurred， more than half of the residents surveyed would stop or change their drugs voluntarily； more than 70％ of the residents surveyed did not know or did not pay attention to characteristics and incompatibility of drugs. CONCLUSIONS： Because of the low level of education， the lack of common sense of safe drug use in local rural residents and unbalanced allocation of medical resources， the phenomenon of irrational drug use is widespread and the safety of medication is not ideal； there is a lot of room for improvement. |
| 期刊： | 2017年第28卷第27期 |
| 作者： | 周振华，王文渊，蒋爱民 |
| AUTHORS： | ZHOU Zhenhua，WANG Wenyuan，JIANG Aimin |
| 关键字： | 湖南；永州；农村居民；用药安全；调查分析 |
| KEYWORDS： | Hunan； Yongzhou； Rural resident； Medication safety； Investigation and analysis |
| 阅读数： | 300 次 |
| 本月下载数： | 2 次 |
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