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尼日利亚一所私立大学本科生自我药疗行为及其相关因素评估

Assessment of Self-Medication Practices and Its Associated Factors among Undergraduates of a Private University in Nigeria.

作者信息

Esan Deborah Tolulope, Fasoro Ayodeji Akinwande, Odesanya Opeoluwa Esther, Esan Theophilus Olaide, Ojo Elizabeth Funmilayo, Faeji Charles Oluwafemi

机构信息

Department of Nursing, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Nigeria.

Department of Public Health, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Nigeria.

出版信息

J Environ Public Health. 2018 Dec 20;2018:5439079. doi: 10.1155/2018/5439079. eCollection 2018.

Abstract

BACKGROUND

Self-medication is the use of drugs to treat self-diagnosed disorders or symptoms or the intermittent or continued use of prescribed drug for chronic or recurrent disease or symptoms, and it is mostly common in developing countries. This study therefore assessed the practice of self-medication among undergraduate students of a private university in Nigeria.

METHODS

The study employed a descriptive cross-sectional design. A pretested questionnaire was self-administered to 384 undergraduate students of the university. Data were analysed and summarised using descriptive and inferential statistics such as chi-squared and Fisher's exact tests.

RESULTS

Overall, 297 (81.8%) undergraduate students practiced self-medication. About 71% of the students had used analgesic, antibiotics (10.5%), and antimalarial drugs (33%) without prescription within one month prior to the survey. The most commonly used drug for self-medication was paracetamol (75.1%). Furthermore, self-medication was found to be significantly associated with age (=0.021), gender ( < 0.001), college (=0.025), and year of study (=0.004). Some of the reasons why undergraduate students practiced self-medication were because of the unfriendly attitude of health care workers (27.7%), lack of time to go to school clinic (26.7%), school clinic is too far from hostel (15.3%), and drugs prescribed in the school clinic do not improve health condition (15.3%).

CONCLUSION

Majority of the students attributed the practice of self-medication to unfriendly attitude of health care workers in the university clinic.

摘要

背景

自我药疗是指使用药物治疗自我诊断的疾病或症状,或针对慢性或复发性疾病或症状间歇性或持续使用处方药,这在发展中国家最为常见。因此,本研究评估了尼日利亚一所私立大学本科生的自我药疗行为。

方法

本研究采用描述性横断面设计。对该大学的384名本科生自行发放了一份经过预测试的问卷。使用描述性和推断性统计方法(如卡方检验和费舍尔精确检验)对数据进行分析和总结。

结果

总体而言,297名(81.8%)本科生有自我药疗行为。在调查前一个月内,约71%的学生在没有处方的情况下使用过镇痛药、抗生素(10.5%)和抗疟药(33%)。自我药疗最常用的药物是对乙酰氨基酚(75.1%)。此外,发现自我药疗与年龄(=0.021)、性别(<0.001)、学院(=0.025)和学习年份(=0.004)显著相关。本科生进行自我药疗的一些原因是医护人员态度不友好(27.7%)、没有时间去学校诊所(26.7%)、学校诊所离宿舍太远(15.3%)以及学校诊所开的药不能改善健康状况(15.3%)。

结论

大多数学生将自我药疗行为归因于大学诊所医护人员态度不友好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6005/6317103/3314c82ccc3f/JEPH2018-5439079.001.jpg

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