Puvvada Rahul Krishna, Gupta Sabrina, Tang Clarice Y, N Althubyani Anwar, Jois Markandeya, Higgs Peter, Ramesh M, Thomas Jency
Department of Physiology, Anatomy and Microbiology, College of Science, Health and Engineering, La Trobe University, Australia.
JSS College of Pharmacy, JSS Academy of Higher Education and Research, Mysuru, Karnataka, India.
Metabol Open. 2020 Dec 8;9:100073. doi: 10.1016/j.metop.2020.100073. eCollection 2021 Mar.
Self-medication practices of type 2 diabetes in India include the use of both traditional and western medications. It is important to understand the factors influencing self-medication. A total of 3257 studies were screened and nine studies (six quantitative and three qualitative) were included. The Hawker tool and Joanna Briggs Institute Critical Appraisal tool were used to assess the quality of studies. The findings of the quantitative studies were descriptively analysed while thematic analysis was performed to identify key themes from the qualitative studies. The analysis indicated that participants had greater trust in traditional medications regardless of their socioeconomic and/or educational backgrounds as these were often recommended by friends and family members. Low cost, ease of availability and perceived lower side effects of traditional medications were some of the factors contributing to greater trust. It is suggested that ongoing management of type 2 diabetes requires stringent policies and regulations in the dispensing of traditional and western medications. Continual education to inform people on the use of self-medications and its possible adverse effects is also required.
印度2型糖尿病患者的自我药疗行为包括使用传统药物和西药。了解影响自我药疗的因素很重要。共筛选了3257项研究，纳入了9项研究（6项定量研究和3项定性研究）。使用霍克工具和乔安娜·布里格斯循证卫生保健中心的批判性评价工具来评估研究质量。对定量研究的结果进行描述性分析，同时进行主题分析以从定性研究中识别关键主题。分析表明，无论参与者的社会经济和/或教育背景如何，他们对传统药物都有更高的信任度，因为这些药物通常是朋友和家人推荐的。低成本、易于获取以及传统药物被认为副作用较小是导致更高信任度的一些因素。建议2型糖尿病的持续管理需要在传统药物和西药的配药方面制定严格的政策和法规。还需要持续开展教育，告知人们自我药疗的使用方法及其可能的不良反应。
