Devkota Ramesh, Khan G M, Alam Kadir, Sapkota Binaya, Devkota Deepa
Department of Drug Administration, Kathmandu, Nepal.
Pokhara University, Kaski, Nepal.
BMC Pregnancy Childbirth. 2017 Apr 27;17(1):131. doi: 10.1186/s12884-017-1316-6.
Counseling has a significant role in improving knowledge, attitude and practice outcomes of pregnant women towards medication use. Proper counseling thus could be beneficial to prevent any medication related misadventure during pregnancy. The present study was aimed to assess the knowledge, attitude and practice (KAP) of pregnant women towards their medications, to provide counseling regarding their understanding of medication use during pregnancy and evaluate the impacts of such counseling.
Pre- post interventional (counseling) study was conducted at Manipal Teaching Hospital, Nepal among pregnant women who presented with complication and were prescribed at least one medication. A total of 275 pregnant women were included in the study. A structured questionnaire was used to assess the knowledge, attitude and practice of pregnant women before and after counseling. The impacts of counseling were then evaluated using suitable statistical methods.
Of the total participants 229 completed the post counseling survey. Majority of the participants were in the age group 20-24 (43.2%), primigravida (59.4%) and in third trimester (58.6%). Housewives comprised 61.1% of participants and majority had received a University degree (33.2%). The mean and median scores assessed before counseling showed that there was no significant difference in the KAP scores with respect to age, trimester and gravidity whereas KAP scores with respect to occupation and level of education were statistically significant. There was an increase in mean and median KAP scores after counseling and the impacts of counseling was found to be statistically significant (p = <0.001).
Counseling had a positive impact on knowledge, attitude and practice of pregnant women towards medication and thus it could be considered a suitable method to encourage safe medication during pregnancy.
咨询在提高孕妇用药知识、态度和实践结果方面具有重要作用。因此，适当的咨询有助于预防孕期任何与用药相关的不良事件。本研究旨在评估孕妇对其所用药物的知识、态度和实践（KAP），就她们对孕期用药的理解提供咨询，并评估此类咨询的影响。
在尼泊尔马尼帕尔教学医院对出现并发症并至少开具了一种药物的孕妇进行了干预前-干预后（咨询）研究。共有275名孕妇纳入研究。使用结构化问卷评估咨询前后孕妇的知识、态度和实践情况。然后使用适当的统计方法评估咨询的影响。
在所有参与者中，229人完成了咨询后调查。大多数参与者年龄在20-24岁（43.2%），初产妇（59.4%），处于孕晚期（58.6%）。家庭主妇占参与者的61.1%，大多数拥有大学学历（33.2%）。咨询前评估的平均和中位数得分显示，KAP得分在年龄、孕周和妊娠次数方面无显著差异，而在职业和教育水平方面的KAP得分具有统计学意义。咨询后平均和中位数KAP得分有所提高，且咨询的影响具有统计学意义（p = <0.001）。
咨询对孕妇用药的知识、态度和实践有积极影响，因此可被视为鼓励孕期安全用药的合适方法。
