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比利时一家三级医院孕妇对药物的信念和信息需求。

Beliefs about medicines and information needs among pregnant women visiting a tertiary hospital in Belgium.

机构信息

Department of Pharmaceutical and Pharmacological Sciences, Clinical Pharmacology and Pharmacotherapy, KU Leuven, Herestraat 49, Box 521, 3000, Leuven, Belgium.

Department of Obstetrics & Gynecology, University Hospital Gasthuisberg, Leuven, Belgium.

出版信息

Eur J Clin Pharmacol. 2019 Jul;75(7):995-1003. doi: 10.1007/s00228-019-02653-w. Epub 2019 Mar 4.

Abstract

PURPOSE

To explore beliefs about medicines and information needs among pregnant women visiting a tertiary hospital in Belgium and to identify patient characteristics associated with beliefs about medicines.

METHODS

A cross-sectional study was performed at the outpatient obstetrics clinic of the University Hospital Leuven, Belgium, between December 2016 and March 2017. All pregnant women ≥ 18 years were invited to complete a web survey. The survey consisted of general and pregnancy-specific statements of the "Beliefs about Medicines" questionnaire and questions about information needs. Descriptive statistics, chi-square tests, Fisher's exact tests, and multinomial logistic regression were used to analyze the findings.

RESULTS

In total, 372 pregnant women participated. Most women showed positive attitudes towards medicines in general. However, almost 90% of women agreed to have a higher threshold to use medicines during pregnancy compared with non-pregnant situations. Likewise, 40% preferred natural remedies during pregnancy. Education in healthcare and education level were the main determinants associated with beliefs, with highly educated women showing a higher threshold to use medicines during pregnancy (p = 0.005). Most women searched online for pregnancy-related information (85%) and for information about medicines (74%). However, less than one-third discussed online-retrieved information with healthcare professionals (HCPs).

CONCLUSIONS

Pregnant women visiting a tertiary hospital in Belgium showed a higher threshold to use medicines during pregnancy compared with non-pregnant situations and had high information needs, including for information about medicines during pregnancy. HCPs should be aware of women's individual beliefs, guide them towards reliable websites, and discuss online-retrieved information during counseling.

摘要

目的

探讨比利时一家三级医院就诊的孕妇对药物的信念和信息需求,并确定与药物信念相关的患者特征。

方法

2016 年 12 月至 2017 年 3 月,在比利时鲁汶大学医院的门诊妇产科进行了一项横断面研究。邀请所有≥18 岁的孕妇完成网络调查。该调查包括“药物信念”问卷的一般和妊娠特定陈述以及关于信息需求的问题。使用描述性统计、卡方检验、Fisher 确切检验和多项逻辑回归分析研究结果。

结果

共有 372 名孕妇参与。大多数女性对一般药物持积极态度。然而,近 90%的女性同意在怀孕期间使用药物的门槛高于非怀孕情况。同样,40%的女性在怀孕期间更喜欢天然药物。医疗保健教育和教育水平是与信念相关的主要决定因素,受教育程度较高的女性在怀孕期间使用药物的门槛更高(p=0.005)。大多数女性上网搜索与怀孕相关的信息(85%)和与怀孕期间药物相关的信息(74%)。然而,不到三分之一的人会与医疗保健专业人员讨论在网上检索到的信息。

结论

在比利时一家三级医院就诊的孕妇在怀孕期间使用药物的门槛高于非怀孕情况,并且有很高的信息需求,包括怀孕期间关于药物的信息。医疗保健专业人员应了解女性的个体信念,指导她们访问可靠的网站,并在咨询时讨论在网上检索到的信息。

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