川渝地区家长自行对儿童使用抗菌药物的调查分析
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篇名: 川渝地区家长自行对儿童使用抗菌药物的调查分析
TITLE: Investigation and analysis on the parents ’behavior of children ’s use of antibiotics in Sichuan-Chongqing area
摘要: 目的 为保障儿童用药安全和卫生行政部门制定合理用药管理对策提供参考。方法采用自行设计的问卷,通过线上和线下问卷两种行式调查川渝地区家长对抗菌药物的认知及自行给儿童使用的行为现状;对其认知得分进行单因素分析,并对影响受访家长自行给儿童使用抗菌药物行为的因素进行多因素Logistic回归分析。结果共发放问卷1068份,回收有效问卷993份,有效回收率为93.0%。近半年内有43.2%的家长自行对儿童使用了抗菌药物,其中受访家长的认知得分、医院就诊费用高且就诊程序繁琐、抗菌药物易获得、有一定的用药经验、药店药师推荐购买、亲朋好友的推荐、大众媒体的宣传影响均与其自行使用抗菌药物的行为呈正相关(P<0.05)。结论川渝地区家长自行对儿童使用抗菌药物治疗的比例较高,该行为的发生是多因素共同作用的结果。降低儿童家长自行使用抗菌药物的风险需要政府、医疗机构、大众共同努力,改善儿童家长对抗菌药物的认知,规范抗菌药物的获取途径,从而减少抗菌药物的不合理使用。
ABSTRACT: OBJECTIVE To provide reference for the safety of drug use in children and the rational drug use management strategies by health administration departments. METHODS A self-designed questionnaire was used to investigate the cognition of antibiotics and the parents ’behavior of children ’s use of antibiotics ,using online and offline questionnaires. Univariate analysis was carried out on the scores of respondents ’cognition,and multivariate Logistic regression analysis was carried out on the factors affecting parents ’behavior of children ’s use of antibiotics. RESULTS A total of 1 068 questionnaires were distributed ,and 993 valid questionnaires were recovered ,with the effective recovery rate of 93.0%. Among the respondents ,43.2% of the parents ’ behavior of children ’s use of antibiotics in the past 6 months. The score of respondents ’cognition,high treatment cost and cumbersome treatment procedures ,easy access to antibiotics ,certain medication experience ,the recommendation of pharmacists in drug store ,the recommendation of relatives and friends and the publicity of mass media were positively correlated with parents ’ behavior of children ’s use of antibiotics (P<0.05). CONCLUSIONS The rate of the parents ’in Sichuan-Chongqing area is high , which is the result of a combination of several factors. Reducing the risk of behavior of children ’s use of antibiotics requires the joint efforts of the government ,medical institutions and the public. The parents ’cognition towards antibiotics should be improved ,and the acquisition of antibiotics should be standardized so as to reduce unreasonable use of antibiotics.
期刊: 2022年第33卷第04期
作者: 陈思芪,郑航,严波
AUTHORS: CHEN Siqi,ZHENG Hang,YAN Bo
关键字: 儿童;家长;抗菌药物;川渝地区;认知;行为
KEYWORDS: children;parents;antibiotics;Sichuan-Chongqing area ;cognition;behavior
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