尼泊尔东部达兰次都市区两个社区城郊家庭的自我用药行为：描述性横断面研究。

Self-medication Practices among the Peri-urban Households of Two Communities of Dharan Sub-metropolitan city of Eastern Nepal: A Descriptive Cross-sectional Study.

机构信息

Departmentof Clinical Pharmacology and Therapeutics, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2020 Aug 31;58(228):569-573. doi: 10.31729/jnma.5185.

DOI:10.31729/jnma.5185

PMID:32968290

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7580369/

Abstract

INTRODUCTION

Self-medication practice is the use of medication without prescription of health care professionals. Drug resistance, drug side effects, wastage of resources, and serious health hazards including death are associated with self-medication. We conducted this study to find out the prevalence of self- medication among the peri-urban population of two randomly selected communities of Dharan, Nepal.

METHODS

A descriptive cross-sectional study was conducted among people residing in two randomly selected wards of peri-urban areas of Dharan from November 2017 and April 2018 after obtaining ethical clearance (IRC/1030/017). A pretested, structured self-administered questionnaire was used for data collection. Data were collected and entered in Statistical Package for the Social Sciences version 11.5; point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.

RESULTS

Among 426 respondents, the overall prevalence of self-medication was 312 (73.23%) at 95% Confidence Interval (67.83-78.63%). It was more common among female 158 (78.60%). Common symptoms were headache 201 (64.42%), fever 135 (43.26%), gastrointestinal 93 (29.8%) and respiratory illness 87 (27.88%). Analgesics and antipyretics 275 (88.14%) were the most common drugs self- medicated with. Seeking opinion from pharmacist 112 (35.89%) was the commonest method adopted to procure drugs and comfort 127 (40.7%) and time constraints 122 (39.1%) were the commonest reasons.

CONCLUSIONS

Prevalence of self-medication among the peri-urban population was similar to other studies. Headache and fever was the common symptoms for which self-medication were adopted. Awareness regarding potential dangers of self-medication and different drug side effects are recommended at the community level.

摘要

简介

自我用药是指在没有医疗保健专业人员处方的情况下使用药物。耐药性、药物副作用、资源浪费以及包括死亡在内的严重健康危害都与自我用药有关。我们进行这项研究是为了了解尼泊尔达兰两个随机选择的社区的城郊人口中自我用药的流行情况。

方法

2017 年 11 月至 2018 年 4 月，在获得伦理批准（IRC/1030/017）后，在达兰城郊地区的两个随机选择的区进行了一项描述性横断面研究。使用经过预测试的、结构化的自我管理问卷进行数据收集。数据收集并输入社会科学统计软件包 11.5 版本；在 95%置信区间计算点估计值，同时计算二进制数据的频率和比例。

结果

在 426 名受访者中，自我用药的总体患病率为 312 例（73.23%），置信区间为 95%（67.83-78.63%）。女性中更为常见，有 158 例（78.60%）。常见症状有头痛 201 例（64.42%）、发热 135 例（43.26%）、胃肠道 93 例（29.8%）和呼吸道疾病 87 例（27.88%）。自我用药最常见的药物是 275 种（88.14%）的镇痛药和退烧药。向药剂师咨询意见 112 例（35.89%）是获取药物的最常见方法，寻求安慰 127 例（40.7%）和时间限制 122 例（39.1%）是最常见的原因。