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孕妇对药物的信念——一项针对 866 名挪威女性的研究。

Pregnant women's beliefs about medications--a study among 866 Norwegian women.

机构信息

Department of Pharmacy, School of Pharmacy, University of Oslo, Norway.

出版信息

Ann Pharmacother. 2010 Sep;44(9):1478-84. doi: 10.1345/aph.1P231. Epub 2010 Aug 24.

Abstract

BACKGROUND

Beliefs about medication may impact a woman's decision to take a needed medication during pregnancy. While many women will be faced with decisions regarding medication use during pregnancy, there is a paucity of research on this topic in the literature.

OBJECTIVE

To study pregnant women's beliefs about medication and factors that determine those beliefs.

METHODS

A questionnaire was posted at the University of Oslo's Web site for Internet surveys for 5 weeks from mid-September 2008 through October 2008. Seven general statements from the "Beliefs about Medicines" questionnaire and 9 pregnancy-specific statements were used to assess pregnant women's attitudes toward medication use during pregnancy. Other information, such as sociodemographic background and personal medication use during pregnancy, was also collected.

RESULTS

A total of 866 pregnant women completed the questionnaire. Most women had a positive attitude toward medication in general, but believed pregnant women should be more restrictive regarding use than nonpregnant women. There was a significant association between women's education, occupation, and attitudes, with less educated women believing that medications in general were harmful and herbal remedies were safe, while women with a higher education were more reluctant to use any medication in pregnancy. Women with health-related occupations were more knowledgeable about the possible risks of untreated illness during pregnancy. There was also an association between pregnant women's attitudes and their use of prescribed penicillins and herbal remedies.

CONCLUSIONS

Most pregnant women believe that medicines in general are helpful and safe to use. However, they are much more restrictive and unsure about use during pregnancy. Health-care professionals should be aware of such attitudes when advising a woman to take a needed medication during pregnancy.

摘要

背景

对药物的信念可能会影响女性在怀孕期间是否决定服用所需药物。虽然许多女性将面临在怀孕期间使用药物的决定,但在该主题的文献中研究甚少。

目的

研究孕妇对药物的信念以及决定这些信念的因素。

方法

调查问卷于 2008 年 9 月中旬至 10 月在奥斯陆大学的互联网调查网站上发布,共进行了 5 周。使用“对药物的信念”问卷中的 7 个一般陈述和 9 个妊娠特异性陈述来评估孕妇对妊娠期间使用药物的态度。还收集了其他信息,如社会人口背景和孕妇在怀孕期间的个人用药情况。

结果

共有 866 名孕妇完成了问卷。大多数女性对一般药物持积极态度,但认为孕妇在用药方面应比非孕妇更为谨慎。女性的教育程度、职业和态度之间存在显著关联,受教育程度较低的女性认为一般药物有害且草药安全,而受教育程度较高的女性则更不愿意在怀孕期间使用任何药物。从事与健康相关职业的女性更了解怀孕期间未经治疗的疾病的潜在风险。孕妇的态度与她们使用处方青霉素和草药之间也存在关联。

结论

大多数孕妇认为一般药物有助于安全使用。然而,她们在怀孕期间对药物的使用更为严格和不确定。医疗保健专业人员在建议女性在怀孕期间服用所需药物时应注意此类态度。

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