Jalilian Farzad, Hazavehei Seyed Mohammad Mehdi, Vahidinia Ali Asghar, Jalilian Mohsen, Moghimbeigi Abbas
Department of Nursing, School of Basic Science, Islamic Azad University, Hamadan, Iran.
J Res Health Sci. 2013 May 29;13(1):81-5.
Self-medication has increased in the last decade in Iran; can be followed several complications. The aim of this study was to determine the prevalence and factors influencing self-medication based on health belief model.
A cross-sectional study was conducted among 1400 Hamadan Province pharmacies visitors, during spring and summer 2012 which was randomly selected with the proportional to size among different pharmacy at Hamadan for participation in this study. A structured questionnaire was applied for collecting data, which were analyzed by SPSS version 16 using bivariate correlations and logistic regression statistical tests.
35.4% of the participants had self-medication. Pain medication (10.6%), antibiotics (7.3%) and anti-cough and cold medications (4.5%) had the largest consumption. The main reasons of self-medication among participants were previous use of medication, symptoms improve and similar prescribed. The best predictor for self-medication was perceived severity with odds ratio estimate of 0.790 [95% CI: 0.694, 0.900].
It seems that designing and implementation of educational programs to increase seriousness about side effect of self-medication may be usefulness of the results in order to prevent of self-medication.
在过去十年中，伊朗的自我药疗现象有所增加，可能会引发多种并发症。本研究旨在基于健康信念模型确定自我药疗的患病率及影响因素。
2012年春夏期间，在哈马丹省的1400名药房访客中进行了一项横断面研究，这些访客是从哈马丹不同规模的药房中按比例随机抽取参与本研究的。采用结构化问卷收集数据，并用SPSS 16版通过双变量相关性和逻辑回归统计检验进行分析。
35.4%的参与者有自我药疗行为。止痛药物（10.6%）、抗生素（7.3%）以及止咳感冒药（4.5%）的消费量最大。参与者自我药疗的主要原因是曾使用过药物、症状改善以及有类似的处方。自我药疗的最佳预测因素是感知严重性，优势比估计值为0.790[95%置信区间：0.694，0.900]。
为提高对自我药疗副作用的重视程度而设计和实施教育项目，可能有助于预防自我药疗。
