Dorji Thinley, Gyeltshen Kinley, Pongpirul Krit
Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan.
Kidu Medical Unit, His Majesty's Peoples' Project, Thimphu, Bhutan.
BMC Res Notes. 2018 Sep 10;11(1):660. doi: 10.1186/s13104-018-3764-0.
Paracetamol or acetaminophen is a weak analgesic commonly used worldwide and in Bhutan. It is available across all levels of Bhutan's health care system and for purchase without prescription. Little is known, however, about patterns of paracetamol use in Bhutan. This study aimed to assess what the Bhutanese population knows about the indications for use of paracetamol, safe use, and common patterns of usage (frequency, dosage). These questions were studied among Bhutanese living in Phuentsholing, a large commercial town at Bhutan-India border.
Among 441 participants, most (72.1%) reported having used paracetamol in the past 1 year. The mean knowledge score was 57.6%; only 30 participants (6.8%) had what was characterized as "good knowledge." Level of knowledge was positively associated with level of education (p = 0.031). Less than half (41.3%) had a "good attitude" towards use of paracetamol. In practice, few (4.8%) knew the correct dose, including about one in ten who reported exceeding the recommended therapeutic dose. Most knew about side effects (61.2%) and possible allergic reactions (77.3%). Many participants (47.9%) acknowledged that the self-use of paracetamol may not reduce the number of hospital visits.
对乙酰氨基酚是一种在全球及不丹广泛使用的弱效镇痛药。在不丹的各级医疗保健系统中均可获取，且无需处方即可购买。然而，对于不丹对乙酰氨基酚的使用模式知之甚少。本研究旨在评估不丹民众对乙酰氨基酚的使用指征、安全使用以及常见使用模式（频率、剂量）的了解情况。在位于不丹 - 印度边境的大型商业城镇彭措林居住的不丹人中对这些问题进行了研究。
在441名参与者中，大多数（72.1%）报告在过去1年中使用过对乙酰氨基酚。平均知识得分是57.6%；只有30名参与者（6.8%）具备被定义为“良好知识”的水平。知识水平与教育程度呈正相关（p = 0.031）。不到一半（41.3%）的人对使用对乙酰氨基酚持“良好态度”。在实际使用中，很少有人（4.8%）知道正确剂量，包括约十分之一报告超过推荐治疗剂量的人。大多数人了解副作用（61.2%）和可能的过敏反应（77.3%）。许多参与者（47.9%）承认自行使用对乙酰氨基酚可能不会减少就诊次数。
