Abukhalaf Abdulelah Adnan, Alomar Ali Abdullah, Alsalame Nayef Mosleh, Sumaya Omar Yassin, Alessa Omar Mohammed, Alasbali Majed Mohammed, Alaska Yasser A
Department of Emergency, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
J Family Med Prim Care. 2020 Aug 25;9(8):4391-4395. doi: 10.4103/jfmpc.jfmpc_696_20. eCollection 2020 Aug.
Self-medication and inappropriate beta-blocker use have been commonly reported among students. This study aimed to determine the prevalence of inappropriate self-prescription of beta-blockers among medical and dental students.
We conducted a cross-sectional study using a validated self-administered questionnaire distributed via online Google document to all undergraduate medical and dental students, including interns, of King Saud University, Riyadh, Saudi Arabia.
Out of 1,240 emails sent, 885 students (627 [70.8%] medical students and 258 [59.2%] dental students) responded to the survey (response rate, 71.4%). Beta-blockers were used by 198 students (22.4%) during their college years, of which 147 (16.6%) used it ≤5 times. The most common reason of using beta-blockers was to relieve stress and anxiety. The most common sources of information for use were their colleagues/fellow students. Self-prescribed beta-blockers were used by 123 students (13.9%). The usual dose consumed was 20 mg in 84 students (9.5%), while 15 (1.7%) experienced side effects. Although male students used beta-blockers more than females, females used beta-blockers at significantly higher doses (>20 mg). Medical students consumed more beta-blockers than dental students did (33.7% versus 0%, = 0.001). Students in their senior years continued self-prescription and beta-blocker use longer than their juniors. Continued use was associated with their current academic level, who prescribed the drug, their usual dose, and awareness of complications.
Two in ten students inappropriately used beta-blockers to relieve their anxiety and stress during examinations, and most of them were self-prescribed.
学生中自我用药和不适当使用β受体阻滞剂的情况屡有报道。本研究旨在确定医学和牙科学生中不适当自我开具β受体阻滞剂处方的 prevalence。
我们进行了一项横断面研究，使用通过在线谷歌文档分发给沙特阿拉伯利雅得国王沙特大学所有本科医学和牙科学生（包括实习生）的经过验证的自填式问卷。
在发送的1240封电子邮件中，885名学生（627名[70.8%]医学学生和258名[59.2%]牙科学生）回复了调查（回复率为71.4%）。198名学生（22.4%）在大学期间使用过β受体阻滞剂，其中147名（16.6%）使用次数≤5次。使用β受体阻滞剂最常见的原因是缓解压力和焦虑。使用信息最常见的来源是他们的同事/同学。123名学生（13.9%）自我开具β受体阻滞剂。84名学生（9.5%）通常服用的剂量为20毫克，而15名（1.7%）出现了副作用。尽管男生使用β受体阻滞剂的次数多于女生，但女生使用的剂量明显更高（>20毫克）。医学学生比牙科学生服用β受体阻滞剂的次数更多（33.7%对0%，=0.001）。高年级学生自我开具处方和使用β受体阻滞剂的时间比低年级学生更长。持续使用与他们当前的学业水平、开药者、通常剂量以及对并发症的认识有关。
十分之二的学生在考试期间不恰当地使用β受体阻滞剂来缓解焦虑和压力，而且大多数是自我开具的。
