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父母态度与子女自我用药之间的关系。

Association between parental attitudes and self-medication of their children.

机构信息

School of Pharmacy, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland.

出版信息

Int J Clin Pharm. 2013 Feb;35(1):113-20. doi: 10.1007/s11096-012-9715-2. Epub 2012 Oct 26.

Abstract

BACKGROUND

The association between parental attitudes and medication administered to their children has been studied mainly regarding specific diseases and ailments, e.g. asthma, fever and pain. Little is known about how parental attitudes toward medicines in general are associated with how they medicate their children using self-medication.

OBJECTIVE

The aim of this study was to identify how parental attitudes toward medicines are associated with how they medicate their children with self-medication including the use of over-the-counter (OTC) medicines and complementary and alternative medicines (CAMs).

SETTING

A cross-sectional population-based study was conducted in the spring of 2007. The study sample consisted of a random sample of Finnish children under 12 years of age (n = 6,000).

METHOD

A questionnaire was sent to parents, and the parent who usually takes responsibility for the child´s medication was instructed to answer the questionnaire.

MAIN OUTCOME MEASURE

The responding parent was asked to report the child's use of OTC medicines and CAMs during the preceding 2 days. The parent's attitude toward medicines was measured by 18 statements using a 5-item Likert scale.

RESULTS

CAM use was least likely among children whose parent had a positive view of prescription medicines. In contrast, a positive attitude toward OTC medicines by a parent was associated with both, OTC medicine and CAM use among children, whereas, parental worry about the risks of medicines predicted the use of CAMs among children.

CONCLUSION

This study showed that parental attitudes toward medicines have an impact on how they medicate their children, especially with CAMs. This finding highlights the fact that health care professionals should negotiate a child's treatment, taking into account parental views toward medicines, and previous use of self-medication.

摘要

背景

父母对子女用药的态度与他们给子女用药的关系主要是针对特定疾病和疾病进行研究的,例如哮喘、发烧和疼痛。对于父母对一般药物的态度与他们如何通过自我用药给子女用药之间的关系,人们知之甚少。

目的

本研究旨在确定父母对药物的态度与他们如何通过自我用药(包括使用非处方(OTC)药物和补充和替代药物(CAM))给子女用药之间的关系。

设置

这是一项 2007 年春季进行的横断面基于人群的研究。研究样本包括年龄在 12 岁以下的芬兰儿童的随机样本(n=6000)。

方法

向父母发送问卷,并指示通常负责子女用药的父母回答问卷。

主要观察指标

被调查的父母被要求报告孩子在过去两天内使用 OTC 药物和 CAM 的情况。父母对药物的态度通过使用 5 项李克特量表的 18 个陈述来衡量。

结果

在父母对处方药持积极态度的孩子中,CAM 的使用率最低。相比之下,父母对 OTC 药物的积极态度与孩子同时使用 OTC 药物和 CAM 有关,而父母对药物风险的担忧则预示着孩子使用 CAM。

结论

本研究表明,父母对药物的态度会影响他们如何给子女用药,尤其是使用 CAM。这一发现强调了一个事实,即医疗保健专业人员在为孩子制定治疗方案时,应考虑到父母对药物的看法以及之前的自我用药情况。

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