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评估孕妇对互联网药物安全信息的了解和使用情况,以及互联网购药行为。

An assessment of pregnant women's knowledge and use of the Internet for medication safety information and purchase.

机构信息

Centre for Maternal Fetal and Infant Research, Ulster University, Newtownabbey, Co Antrim, UK.

Institute of Nursing and Health Research, School of Nursing, Ulster University, Newtownabbey, Co Antrim, UK.

出版信息

J Adv Nurs. 2018 Jan;74(1):137-147. doi: 10.1111/jan.13387. Epub 2017 Sep 7.

Abstract

AIM

The aim of this study was to assess pregnant women's Internet searching activity about medication safety, knowledge and perceptions of medication risk and willingness to take prescribed and non-prescribed medication or make online medication purchases.

BACKGROUND

Online medication advice for pregnant women is complex. The quality and veracity of this data is increasingly important as more midwives report women are bringing retrieved online information to clinical appointments. Pregnant women's use of the Internet for seeking medication advice and purchasing medications has not yet been fully investigated.

DESIGN

Online survey conducted from January - March 2013.

FINDINGS

Of the 284 respondents, 39% were taking a medication when they became pregnant and 76% had searched the Internet for medication safety information. Analgesics were the most commonly searched category (41%). Health service sites were the most common online source and regarded as the most helpful and trusted. Regardless of age and education level, 90% of women agreed that if trying to become pregnant they would reconsider taking any medications because of the potential risk to their unborn baby. Forty-six percent of women with higher levels of education consider buying medication online as safe, a greater proportion than those of lower education. Five percent of women reported buying medication online.

CONCLUSION

The lack of specific recommendations for medication use during pregnancy is challenging for healthcare staff and pregnant women who need robust evidence to make informed treatment decisions. The Internet is a recognized, commonly accessed, source of medication information for pregnant women.

摘要

目的

本研究旨在评估孕妇对药物安全性的互联网搜索活动、相关知识和认知、以及她们在开处方和非处方药物方面的意愿或进行在线药物购买的意愿。

背景

针对孕妇的在线药物咨询是复杂的。随着越来越多的助产士报告称,女性在临床预约时会带来从网上检索到的信息,因此,此类数据的质量和准确性变得越来越重要。孕妇上网寻求药物咨询和购买药物的情况尚未得到充分调查。

设计

2013 年 1 月至 3 月进行的在线调查。

发现

在 284 名受访者中,39%的人在怀孕时正在服用药物,76%的人曾在互联网上搜索过药物安全性信息。镇痛药是最常被搜索的类别(41%)。卫生服务网站是最常见的在线来源,被认为是最有帮助和最值得信赖的。无论年龄和教育程度如何,90%的女性都表示,如果她们试图怀孕,会因为担心药物对未出生婴儿的潜在风险而重新考虑服用任何药物。受教育程度较高的女性中有 46%认为在网上购买药物是安全的,这一比例高于受教育程度较低的女性。有 5%的女性报告称在网上购买过药物。

结论

缺乏针对怀孕期间药物使用的具体建议,这对医疗保健人员和需要可靠证据来做出明智治疗决策的孕妇来说是具有挑战性的。互联网是孕妇公认的、常被访问的药物信息来源。

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