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德里农村地区自我开具镇痛药物的使用模式:探究互联网的潜在作用

Pattern of Self Prescribed Analgesic Use in a Rural Area of Delhi: Exploring the Potential Role of Internet.

作者信息

Kochhar Anjali, Gupta Tanya

机构信息

Associate Professor, Department of Anaesthesiology, Critical Care and Pain Medicine, HIMSR, Jamia Hamdard, New Delhi, India.

Undergraduate Student, Department of Anaesthesiology, Critical Care and Pain Medicine, HIMSR, Jamia Hamdard, New Delhi, India.

出版信息

J Clin Diagn Res. 2017 Jul;11(7):UC04-UC07. doi: 10.7860/JCDR/2017/27685.10179. Epub 2017 Jul 1.

Abstract

INTRODUCTION

Analgesics are the most common self prescribed drugs. Although considered to be relatively safe, side effects are often seen when these drugs are used for prolonged period, in high doses or used where contraindicated. Majority of the consumers are not aware of the side effects. These days ample amount of information is available on web, it is important to explore its role in educating the population regarding the safe use of self prescribed analgesics.

AIM

To explore pattern of analgesic use, to identify population at risk of developing side effects related to analgesic use, awareness of side effects and potential role of internet to bring awareness about safe use of self prescribed analgesic drugs in a rural area of Delhi.

MATERIALS AND METHODS

A cross-sectional survey based study was done on 500 adults in the age group of 18-65 years of Madanpur Khadar area of South Delhi, India. Data collection was done by conducting visits to pharmacy shops from the people who were buying drugs without prescription and taking face to face interviews using a semi-structured questionnaire. Statistical analysis was performed using descriptive tests with Microsoft office excel 2007.

RESULTS

Results of our study showed that among all the self prescribed analgesics paracetamol (57%) was used most frequently followed by aspirin and other NSAIDs. It was found that 9.6% of the consumers were having associated co-morbid illness, 11.4% were simultaneously taking other drugs and 15.2% were alcoholics. Majority (65.4%) of the buyers were not aware about any kind of side effects of the analgesics. Internet friendly consumers were found to be 44%. Ability to use internet and education level were found to be directly related (r=0.802).

CONCLUSION

The pattern of analgesic consumption in the rural population of Delhi shows that a large number of consumers may be at risk of developing side effects of self prescribed analgesics. The awareness about the side effects is limited. A significant number of consumers are internet friendly. Hence, we recommend use of website/mobile apps as potential source of information in educating the population regarding the use of self prescribed analgesics.

摘要

引言

镇痛药是最常见的自我开处方药物。尽管被认为相对安全,但当这些药物长期、大剂量使用或在禁忌情况下使用时,副作用常常会出现。大多数消费者并不了解这些副作用。如今网络上有大量信息,探讨其在教育民众安全使用自我开处方镇痛药方面的作用很重要。

目的

探究镇痛药的使用模式,确定有因使用镇痛药而出现副作用风险的人群,了解副作用的知晓情况以及互联网在德里农村地区提高对安全使用自我开处方镇痛药认识方面的潜在作用。

材料与方法

在印度南德里马丹布尔卡达尔地区对500名年龄在18 - 65岁的成年人进行了一项基于横断面调查的研究。通过走访那些在无处方买药的人并使用半结构化问卷进行面对面访谈来收集数据。使用微软办公软件Excel 2007进行描述性测试统计分析。

结果

我们的研究结果表明,在所有自我开处方的镇痛药中,对乙酰氨基酚(57%)使用最为频繁,其次是阿司匹林和其他非甾体抗炎药。发现9.6%的消费者患有相关合并症,11.4%的人同时服用其他药物,15.2%的人是酗酒者。大多数(65.4%)购买者不了解镇痛药的任何副作用。发现44%的消费者对互联网友好。使用互联网的能力和教育水平被发现直接相关(r = 0.802)。

结论

德里农村人口的镇痛药消费模式表明,大量消费者可能面临自我开处方镇痛药产生副作用的风险。对副作用的认识有限。相当数量的消费者对互联网友好。因此,我们建议使用网站/移动应用程序作为向民众宣传自我开处方镇痛药使用的潜在信息来源。

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