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基于儿科患儿家长用药需求的药品说明书改良调查分析
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| 篇名： | 基于儿科患儿家长用药需求的药品说明书改良调查分析 |
| TITLE： | Investigation and analysis on the improvement of drug instructions based on the medication needs of parents of pediatric patients |
| 摘要： | 目的 分析我院儿科患儿家长对药品说明书的需求并探索改良方案，为临床指导患儿合理用药提供实践依据。方法采用自行设计的匿名调查问卷，于2024年7月1日－9月30日在我院儿科门急诊随机选取患儿家长，就其对药品说明书的阅读意愿、了解现状及需求特点进行随机面对面调查，并对结果进行统计分析。结果本次调查共发放问卷300份，回收有效问卷299份，有效回收率99.7%。患儿服药前，“总是”和“经常”阅读药品说明书的受访者分别有117、105名（39.1%、35.1%）；不同文化程度及职业受访者的药品说明书阅读意愿比较，差异均有统计学意义（P＜0.05）。299名受访者中，仅48名（16.1%）“完全能理解”药品说明书；所有受访者的平均理解程度评分为（3.77±0.83）分；受访者阅读药品说明书的意愿越强烈，其对说明书的理解程度评分越高（P＜0.05）。有256名受访者认为药品说明书对自身有很大帮助；所有受访者的平均帮助程度评分为（4.28±0.78）分；在不同年龄、文化程度、职业、药品说明书阅读意愿的条件下，药品说明书对受访者帮助程度的评分比较，差异均有统计学意义（P＜0.05）。受访者最关注药品说明书中的“用法用量及服用方法“”不良反应“”适应证及作用类别”等内容，最难理解的包括“化学结构及性状”“药理毒理作用“”药代动力学”等。受访者人群特征与其最希望改进的药品说明书内容无关（P＞0.05）。受访者希望改进的内容包括“简化专业术语，使之更加通俗易懂”（86.0%）、“关键信息突出”（60.5%）、“提供更详细的用药指导和建议”（49.2%）等。结论我院患儿家长对药品说明书的需求度较高，但理解程度较低。药学部门应围绕家长实际需求，对药品说明书进行针对性的优化改良，帮助其准确获取用药知识，减少用药安全隐患。 |
| ABSTRACT： | OBJECTIVE To analyze the medication needs of parents of pediatric children in our hospital regarding drug instructions， and explore improvement strategies， thereby providing a basis for clinically guiding the rational use of drugs in pediatric patients. METHODS A self-designed questionnaire was used to randomly select the parents of pediatric patients in the pediatric outpatient and emergency departments of our hospital from July 1st to September 30th， 2024. A randomized face-to-face survey was conducted regarding their willingness to read drug instructions， their current understanding status， and their needs. The survey results were then statistically analyzed. RESULTS A total of 300 questionnaires were distributed in this survey， and 299 valid questionnaires were recovered， with an effective recovery rate of 99.7%. Before medication， the parents who “always” and “often” read the drug instructions in detail accounted for 39.1% （117 respondents） and 35.1% （105 respondents）， respectively. Statistically significant differences were observed in the willingness to read drug instructions among respondents with varying educational levels and occupations （P＜0.05）. Among the 299 respondents， only 48 people （16.1%）“ fully understood” the drug instructions， and the average understanding score of all the respondents was （3.77±0.83） points. The stronger the respondents’ willingness to read drug instructions， the higher their understanding scores of drug instructions （P＜0.05）. A total of 256 respondents thought that drug instructions were of great help to themselves， and the average helpfulness rating score of all the respondents was （4.28±0.78） points. Under the conditions of varying ages， educational levels， occupations， and willingness to read drug instructions， statistically significant differences were observed in the scores representing the degree of helpfulness of drug instructions to the respondents （P＜0.05）. Respondents paid the most attention to content in drug instructions such as “dosage and administration method”，“ adverse reactions”， and “indications and therapeutic categories”. The most difficult sections for them to understand included “chemical structure and properties”， “pharmacological and toxicological effects” ， and “pharmacokinetics”， etc. The demographic characteristics of the respondents were not significantly associated with the content areas of drug instructions they most desired to see improved （P＞0.05）. Most respondents （86.0%） hoped to improve the instructions mainly by “simplifying professional terms to make them more accessible”. Others included “highlighting key information” （60.5%） and “providing more detailed medication guidance” （49.2%）， etc. CONCLUSIONS Parents of pediatric patients in our hospital have a high demand for drug instructions but low comprehension. The pharmacy department should make targeted improvements to drug instructions based on parents’ actual needs， helping them accurately obtain medication knowledge and reduce potential medication safety risks. |
| 期刊： | 2025年第36卷第22期 |
| 作者： | 王艺璐；段蓉；韩滨；袁恒杰；李正翔 |
| AUTHORS： | WANG Yilu，DUAN Rong，HAN Bin，YUAN Hengjie，LI Zhengxiang |
| 关键字： | 儿科；家长；用药需求；药品说明书；改良 |
| KEYWORDS： | pediatrics； parents； medication needs； drug instructions； improvement |
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