印度尼西亚关于使用非处方（OTC）镇痛药的公众知识、态度和行为：一项横断面研究。
Public Knowledge, Attitudes, and Practices Regarding the Use of Over-The-Counter (OTC) Analgesics in Indonesia: A Cross-Sectional Study.
作者信息
Sinuraya Rano Kurnia, Wulandari Chalisma, Amalia Riezki, Puspitasari Irma M
机构信息
Unit of Global Health, Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Bandung, West Java, Indonesia.
出版信息
Patient Prefer Adherence. 2023 Oct 17;17:2569-2578. doi: 10.2147/PPA.S426290. eCollection 2023.
BACKGROUND
Over-the-counter analgesics like paracetamol and nonsteroidal antiinflammatory drugs (NSAIDs) are widely accessible to the general population. However, ensuring their safe and effective usage is crucial by considering individuals' knowledge, attitudes, and practices toward these medications.
OBJECTIVE
This study aimed to assess the general population's knowledge, attitudes, and practices regarding the use of over-the-counter analgesics.
METHODS
This cross-sectional study took place in Indonesia from December 2019 to June 2020. A validated questionnaire was used to survey a total of 582 respondents. A comparative analysis examined the variations in mean scores for respondents' characteristics concerning their knowledge, attitude, and practice. A regression analysis was also employed to explore the factors associated with adopting good analgesia practices.
RESULTS
The findings of the study revealed significant differences in average knowledge scores related to gender, educational attainment, and employment status for the use of both paracetamol and NSAIDs. Regarding knowledge, the respondents demonstrated a higher average score for analgesics (4.56 ± 1.84) than NSAIDs (2.881 ± 2.40), out of a maximum score of 6 points. The results indicate that the respondents obtained a low score for attitude (6.80 ± 3.74) out of 16 points and a positive score for practice (2.71 ± 0.48) out of 3 points regarding using analgesics. Moreover, the regression analysis revealed that gender, residing near primary health care facilities, and having sound knowledge of NSAID use were significant predictors of good analgesic practice ( < 0.05).
CONCLUSION
The respondents demonstrated a greater understanding of analgesics compared with NSAIDs. However, despite this higher knowledge level, they had relatively low attitude scores but positive practice scores, indicating a discrepancy between attitudes and actual behavior in using analgesics.
背景
对乙酰氨基酚和非甾体抗炎药（NSAIDs）等非处方镇痛药普通大众均可广泛获取。然而，通过考虑个人对这些药物的知识、态度和使用习惯，确保其安全有效使用至关重要。
目的
本研究旨在评估普通大众对使用非处方镇痛药的知识、态度和使用习惯。
方法
这项横断面研究于2019年12月至2020年6月在印度尼西亚进行。使用经过验证的问卷对总共582名受访者进行了调查。一项比较分析考察了受访者在知识、态度和使用习惯方面的特征平均得分的差异。还采用了回归分析来探究与采取良好镇痛措施相关的因素。
结果
研究结果显示，在对乙酰氨基酚和NSAIDs的使用方面，与性别、教育程度和就业状况相关的平均知识得分存在显著差异。在知识方面，受访者在镇痛药方面的平均得分（4.56±1.84）高于NSAIDs（2.881±2.40），满分均为6分。结果表明，受访者在使用镇痛药方面的态度得分较低（6.80±3.74，满分16分），而使用习惯得分为正向（2.71±0.48，满分3分）。此外，回归分析显示，性别、居住在初级卫生保健机构附近以及对NSAIDs使用有充分了解是良好镇痛措施的显著预测因素（<0.05）。
结论
与NSAIDs相比，受访者对镇痛药有更好的了解。然而，尽管知识水平较高，但他们的态度得分相对较低，而使用习惯得分呈正向，这表明在使用镇痛药方面态度与实际行为之间存在差异。
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