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医务人员及患儿家长对儿童使用中成药风险的KAP调查研究

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目的 调查医务人员及患儿家长对儿童使用中成药风险的知识-态度-行为(KAP)现状,分析两类人群对中成药知识掌握程度、用药态度及用药行为的异同,并通过"医-患"两个角度分析中成药用药风险的影响因素,以期更好地指导临床工作.方法 2023年7月至2023年11月,以首都儿科研究所附属儿童医院(以下简称"我院")及外院医务工作人员,以及在我院就诊过且服用过中成药的患儿家长为调查对象,通过问卷星发放并回收问卷,分析医务人员及患儿家长对儿童使用中成药风险KAP得分情况,采用Logistic回归对使用中成药KAP得分的影响因素进行分析,并通过Spearman分析探讨中成药用药知识、态度、行为之间的相关性.结果 医务人员版问卷共收集有效问卷339份(有效回收率98.83%),医务人员中成药用药知识、态度和行为评分优秀者分别占16.22%、7.08%和 83.19%.患儿家长版共收集有效问卷 336 份(有效回收率 98.82%),患儿家长中成药用药知识、态度和行为评分优秀者分别占 25.87%、3.57%和 30.65%.Logistic回归分析显示,不同医院所在地、受教育程度是医务人员KAP的重要影响因素,患儿家长的年龄、受教育程度、工作状况、职业和月收入是患儿家长KAP的重要影响因素(P<0.05).Spearman相关分析结果显示用药知识、态度和行为 3 个维度之间呈显著正相关(P<0.01).结论 医务人员和患儿家长的中成药用药知识和用药态度均有待进一步提高,患儿家长需特别注意规范用药行为,从而降低儿童使用中成药的风险.医师和药师可结合本研究结果针对患儿家长开展适宜的中成药知识普及和科普宣传工作.
KAP investigation on the risk of children using traditional Chinese patent medicine of medical staff and children's parents
Objective To investigate the knowledge,attitude and practice(KAP)of medical staff and parents of children on the risk of using traditional Chinese patent medicine,analyze the similarities and differences between the two groups of people in their knowledge of traditional Chinese patent medicine,medication attitudes and medication behaviors,and analyze the influencing factors of traditional Chinese patent medicine medication risk from the perspective of"doctor-patient",so as to better guide clinical work.Methods From July to November 2023,the medical staff of Children's Hospital Affiliated to the Capital Institute of Pediatrics(hereinafter referred to as"our hospital")and other hospitals,as well as the parents of children who had visited our hospital and taken traditional Chinese patent medicine were taken as the subjects of the survey.The questionnaires were distributed and collected by Questionnarie Stars to analyze the KAP scores of medical staff and parents of children on the risk of children using traditional Chinese patent medicine,and the factors influencing the scores of KAP of taking traditional Chinese patent medicine were analyzed using Logistic regression analysis.And Spearman correlation analysis was used to explore the correlation among knowledge,attitude and practice.Results A total of 339 valid questionnaires(the effective recovery rate of 98.83%)were collected from the medical staff version of the questionnaire.The medical staff with excellent knowledge,attitude and practice scores accounted for 16.22%,7.08%and 83.19%,respectively.A total of 336 valid questionnaires(the effective recovery rate of 98.82%)were collected from the parents'version.The parents of the children with excellent knowledge,attitude and practice scores accounted for 25.87%,3.57%and 30.65%,respectively.Logistic regression analysis showed that different hospital locations and educational levels were important influencing factors for the KAP of medical personnel,while the age,education level,work status,occupation,and monthly income of parents were important influencing factors for their KAP(P<0.05).The Spearman correlation analysis results showed a significant positive correlation among medication knowledge,attitude,and behavior(P<0.01).Conclusion Medical staff and parents of children need to further improve their knowledge and attitude towards the use of traditional Chinese patent medicine.Parents need to pay special attention to standardizing drug use practice,so as to reduce the risk of children using traditional Chinese patent medicine.Physicians and pharmacists can carry out appropriate traditional Chinese patent medicine knowledge popularization and science popularization for parents of children combined with the results of this study.

Traditional Chinese patent medicineKnowledge-attitude-practiceMedication risksInvestigation and researchInfluence factorsMedical staff

刘洁、宋远、刘芳、石晓旭、刘碧晴、张建民、钟旭丽

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首都儿科研究所附属儿童医院药学部(北京 100020)

中成药 知识-态度-行为 用药风险 调查研究 影响因素 医务人员

国家重点研发计划中医药现代化专项首都儿科研究所临床培育专项

2022YFC3501901LCYJ-2023-09

2024

中国药师
国家药品监督管理局高级研修学院,武汉医药(集团)股份有限公司

中国药师

CSTPCD
影响因子:0.944
ISSN:1008-049X
年,卷(期):2024.27(5)
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