西宁地区居民自我药疗现状及药学服务需求研究
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| 篇名: | 西宁地区居民自我药疗现状及药学服务需求研究 |
| TITLE: | Research on the current status of self-medication and pharmaceutical service needs among residents in Xining area |
| 摘要: | 目的 调研西宁地区居民自我药疗行为现状及其对药学服务的需求偏好,为制定契合区域特征的药学服务干预策略提供依据。方法基于文献自行设计问卷,并经专家组讨论及预调研修订后,于2023年4月-2024年4在西宁地区12家零售药店对购药居民展开匿名调研。采用描述性分析、卡方检验及Spearman相关性分析方法,分析居民自我药疗行为特征、影响因素及药学服务需求。结果回收有效问卷859份,605人有自我药疗行为(70.43%),主要动因为病情较轻(46.94%),主要治疗胃肠道不适(38.51%)及感冒、发热、头痛(35.37%);用药以中成药为主(58.68%);选药主要依赖药店工作人员推荐(52.07%);药品来源多为药店购买(65.95%);用药剂量、用法确定主要参考药品说明书(67.27%),少数凭个人经验(9.92%)。20.33%的居民用药前从不阅读说明书,且少数民族、农民及慢性病人群不阅读说明书的倾向性更高(P<0.05)。65.29%的居民表示能部分理解说明书内容,但年龄≥60岁、少数民族及慢性病人群等倾向于完全无法理解说明书(P<0.05)。认为自我药疗经常有效者占52.73%,而7.77%的居民认为经常出现不良反应,农民更易出现疗效不佳或不良反应(P<0.05)。72.89%的居民认为有必要学习自我药疗知识,47.11%的居民期望通过微信公众号、手机应用程序(APP)获得药学服务。结论西宁地区居民自我药疗行为普遍,但忽视阅读说明书、凭经验用药等问题明显。有必要制定适合本地区居民特点的科普方案,利用微信公众号、手机APP等数字平台向公众普及自我药疗知识,提升居民合理用药意识与能力。 |
| ABSTRACT: | OBJECTIVE To investigate the current status of self-medication behaviors and the demand preferences for pharmaceutical services among residents in Xining, providing a basis for developing pharmaceutical service intervention strategies tailored to regional characteristics. METHODS A self-designed questionnaire, developed based on literature review and revised after expert panel discussion and a pre-survey, was used to conduct anonymous surveys among residents purchasing medicines at 12 retail pharmacies in Xining area from April 2023 to April 2024. Descriptive analysis, Chi-square test, and Spearman correlation analysis were employed to analyze the characteristics and influencing factors of residents’ self-medication behaviors, and pharmaceutical service needs. RESULTS A total of 859 valid questionnaires were collected, with 605 respondents (70.43%) reporting self-medication behaviors. The primary reason for self-medication was mild symptoms (46.94%). The main conditions treated were gastrointestinal discomfort (38.51%) and cold, fever, headache (35.37%). Chinese patent medicines were the most commonly used (58.68%). Drug selection relied mainly on recommendations by pharmacy staff (52.07%), and retail pharmacies were the primary source of medicines (65.95%). Dosage and administration were determined primarily by referring to the drug package insert (67.27%), while a minority relied on personal experience (9.92%). Notably, 20.33% of respondents never read the package insert before medication, with a higher tendency observed among ethnic minorities, farmers, and individuals with chronic diseases (P<0.05). While 65.29% of respondents reported partially understanding the insert content, those aged ≥60 years, ethnic minorities, and individuals with chronic diseases qhsrmyy-28) were more likely to report being completely unable to understand it (P<0.05). Self-medication was “often effective” for 52.73% of respondents, whereas 7.77%“ often experienced adverse drug reactions”; farmers were more prone to poor efficacy or adverse reactions (P<0.05). A majority (72.89%) of respondents residents believed it necessary to learn about self- medication knowledge, and 47.11% preferred to obtain pharmaceutical services through WeChat public accounts or mobile applications (APP). CONCLUSIONS Self-medication is common among residents in Xining area. Issues such as neglecting to read package inserts and relying on personal experience are evident. It is essential to develop science popularization programs suitable for the characteristics of the local population and utilize digital platforms like WeChat public accounts and APP to disseminate self- medication knowledge, thereby enhancing residents’ awareness and capacity for rational medication use. |
| 期刊: | 2025年第36卷第24期 |
| 作者: | 王爱霞;张金霞;董华措;原小陇;王亚峰 |
| AUTHORS: | WANG Aixia,ZHANG Jinxia,DONG Huacuo,YUAN Xiaolong,WANG Yafeng |
| 关键字: | 自我药疗;药学服务;药学科普;合理用药;西宁 |
| KEYWORDS: | self-medication; pharmaceutical services; pharmaceutical science popularization; rational medication use; Xining |
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