Bello Folasade A, Morhason-Bello Imran O, Olayemi Oladapo, Adekunle Adeyemi O
Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Niger Med J. 2011 Jul;52(3):153-7. doi: 10.4103/0300-1652.86124.
Self-medication is widely practiced in the study area, as many drugs are available over-the-counter, in addition to the use of local herbal preparations. Also, apprehension about the dangers of drug use in pregnancy appears to affect the compliance of prescribed medication. This study assess the drug use profile of an antenatal population.
This was a questionnaire-based descriptive study of 410 antenatal clients attending primary, secondary and tertiary centers in Ibadan, Nigeria. The variables analysed were demographic data of respondents and level of health care received. Outcome measures were use of prescribed drugs, self-medication or herbal preparations. Chi-tests and logistic regression were used for statistical analysis.
All patients on prescribed medication for medical conditions claimed to be compliant with their drugs. Exactly 19.2% admitted to self-medication, mostly hematinics and pain-relieving pills (acetaminophen). No one admitted to alcohol or tobacco use, but 46.3%, especially attendees of the rural center (OR 5.79; 95% CI 2.56-13.10), ingested herbal concoctions while pregnant. Married women (OR 0.2; 95% CI 0.05-0.75) or those whose spouses had higher education (OR 0.43; 95% CI 0.21-0.89) were less likely to practice self-medication, while hypertensive women were more likely to practice it (OR 22.54; 95% CI 3.81-133.49).
Social support has a role in safe drug use practices. This should be used to advantage by encouraging partners' attendance at antenatal sessions. Patients need counseling on the dangers of procuring their usual prescription drugs without consultation. Use of herbal concoctions needs to be explored in the community.
在研究区域，自我药疗十分普遍，因为除了使用当地草药制剂外，许多药物都可以非处方购买。此外，对孕期用药风险的担忧似乎影响了患者对处方药的依从性。本研究评估了产前人群的用药情况。
这是一项基于问卷的描述性研究，研究对象为410名在尼日利亚伊巴丹的初级、二级和三级医疗中心就诊的产前患者。分析的变量包括受访者的人口统计学数据和接受的医疗保健水平。观察指标为处方药、自我药疗或草药制剂的使用情况。采用卡方检验和逻辑回归进行统计分析。
所有因医疗状况而服用处方药的患者均声称遵守医嘱服药。确切地说，19.2%的患者承认有自我药疗行为，主要是补血剂和止痛片（对乙酰氨基酚）。没有人承认饮酒或吸烟，但46.3%的患者，尤其是农村医疗中心的就诊者（比值比5.79；95%置信区间2.56 - 13.10）在孕期服用草药汤剂。已婚女性（比值比0.2；95%置信区间0.05 - 0.75）或配偶受过高等教育的女性（比值比0.43；95%置信区间0.21 - 0.89）进行自我药疗的可能性较小，而高血压女性进行自我药疗的可能性较大（比值比22.54；95%置信区间3.81 - 133.49）。
社会支持对安全用药行为有作用。应通过鼓励配偶参加产前检查来发挥这一优势。需要对患者进行咨询，告知其未经咨询自行购买常用处方药的风险。社区需要对草药汤剂的使用情况进行研究。
