Badiger Sanjeev, Kundapur Rashmi, Jain Animesh, Kumar Ashwini, Pattanshetty Sanjay, Thakolkaran Nimmy, Bhat Nitasha, Ullal Nowshin
Department of Community Medicine, K.S. Hegde Medical Academy, Nitte University, Mangalore, India.
Australas Med J. 2012;5(4):217-20. doi: 10.4066/AMJ.2012.1007. Epub 2012 Apr 30.
Self-medication results in wastage of resources, increases resistance of pathogens and generally causes serious health hazards such as adverse drug reactions, prolonged suffering and drug dependence. This study was undertaken to determine the reasons for self-medication and the pattern of self-medication among medical students.
This cross-sectional descriptive study was conducted at the K.S. Hegde Medical Academy, Mangalore. The participants were medical students from first to final year. Medical students were selected through convenience sampling. The data was collected using a pre-tested semi-structured questionnaire. The data was analysed using SPSS version 16 and the results expressed as proportions.
A total of 200 students, 121 (60.5%) female and 79 (39.5%) male, were included in the study. Of the medical students surveyed, self-medication was reported among 92%. The respondents who used self-medication found it to be time- saving in providing relief from minor ailments. The most common ailments for which self-medication were used were: the common cold (69%), fever (63%) and headache (60%). The students consulted their textbooks (39%) and seniors or classmates (38%) for the medications. Antipyretics (71%), analgesics (65%), antihistamines (37%) and antibiotics (34%) were the most common self- medicated drugs. Of the respondents, 33% were unaware of the adverse effects of the medication and 5% had experienced adverse reactions. The majority (64%) of students advised medications to others, more often to family and friends.
The prevalence of self-medication among medical students is high, facilitated by the easy availability of drugs and information from textbooks or seniors. A significant number of students are unaware of the adverse effects of the medication that they themselves take and suggest to others. Therefore, potential problems of self-medication should be emphasised to the students.
自我药疗会导致资源浪费,增加病原体耐药性,通常还会引发严重的健康危害,如药物不良反应、病程延长和药物依赖。本研究旨在确定医学生自我药疗的原因及自我药疗模式。
本横断面描述性研究在芒格洛尔的K.S. 赫格德医学院进行。参与者为该校一至五年级的医学生。通过便利抽样选取医学生。使用预先测试的半结构化问卷收集数据。采用SPSS 16版软件对数据进行分析,结果以比例表示。
本研究共纳入200名学生,其中女生121名(60.5%),男生79名(39.5%)。在接受调查的医学生中,92%报告有自我药疗行为。进行自我药疗的受访者认为自我药疗能节省时间,缓解小病小痛。自我药疗最常针对的疾病为:普通感冒(69%)、发热(63%)和头痛(60%)。学生们获取用药信息的途径为查阅教科书(39%)以及咨询高年级学生或同学(38%)。最常自我药疗使用的药物为退烧药(71%)、镇痛药(65%)、抗组胺药(37%)和抗生素(34%)。在受访者中,33%不知道所用药物的不良反应,5%曾经历过不良反应。大多数(64%)学生向他人推荐药物,多为家人和朋友。
医学生自我药疗的比例较高,这得益于药物的轻易可得以及从教科书或高年级学生处获取的信息。相当数量的学生不知道自己服用药物的不良反应,还向他人推荐。因此,应向学生强调自我药疗的潜在问题。