孕妇对非处方药自我护理的知识、态度及实践评估。
Assessment of knowledge, attitude, and practice on self-care with over-the-counter medicines among pregnant women.
作者信息
Nirmani Kavindya, Danthanarayana Chanidi, Nisansala P M Thilini, Michael Jeniffer, Shyamali Achala, Dunukara Jayani, Goni Mohammed Dauda, Nisansala Thilini
机构信息
Department of Biomedical Science, Faculty of Health Science, KAATSU International University, Battaramulla, Sri Lanka.
Faculty of Veterinary Medicine, Universiti Malaysia Kelantan, Pengkalan Chepa 16100, Kota Baru, Kelantan, Malaysia.
出版信息
Explor Res Clin Soc Pharm. 2024 Feb 1;13:100413. doi: 10.1016/j.rcsop.2024.100413. eCollection 2024 Mar.
BACKGROUND
Self-care during pregnancy is a crucial topic to be discussed due to its effects on both the mother and fetus. In Sri Lanka, specifically regarding self-care with over-the-counter (OTC) medicines, usage among the pregnant population is scarce.
OBJECTIVE
This study assessed knowledge, attitudes, and practices (KAP) on self-care with OTC medicine usage among pregnant women attending maternity clinics in the Colombo Medical Officer of Health (MOH) areas, Sri Lanka.
METHOD
A cross-sectional study was conducted among 399 pregnant women enrolled through simple random sampling using a self-administered questionnaire. Data were collected on knowledge, attitudes, practices, and sociodemographic characteristics. SPSS version 27 was used for descriptive statistical analysis.
RESULTS
There were satisfactory levels of KAP on self-care with OTC medicines identified among participants. The Mean ± SD for knowledge was 4.38 ± 0.873, and for attitude and practice, 27.56 ± 3.752 and 20.35 ± 4.235, respectively. Significant positive linear correlation between knowledge and attitude ( = 0.375, < 0.001), attitude and practice ( = 0.518, p < 0.001), and knowledge and practice ( = 0.224, p < 0.001) were observed. It refers to participants with higher levels of knowledge being more likely to exhibit certain attitudes and engage in good practice regarding self-care. However, 93% of the participants had a wrong intention that any medicine could be used at any stage of pregnancy, and 26.3% of the participants didn't know that the medications taken during pregnancy could impact the fetus. Surprisingly, 87% had misperceived that antibiotics can be purchased as OTC medicines. Additionally, the majority of the participants (96%) believed that they could use old prescriptions to purchase medicines during pregnancy.
CONCLUSION
Greater awareness regarding self-care with OTC medication usage is suggested to be provided during pregnancy.
背景
孕期自我护理是一个至关重要的话题，因为它对母亲和胎儿都有影响。在斯里兰卡，特别是关于非处方（OTC）药物的自我护理，孕妇群体中的使用情况很少。
目的
本研究评估了在斯里兰卡科伦坡卫生官员（MOH）地区的产科诊所就诊的孕妇中，关于使用非处方药物进行自我护理的知识、态度和行为（KAP）。
方法
采用简单随机抽样方法，对399名孕妇进行横断面研究，使用自填式问卷收集数据。收集了关于知识、态度、行为和社会人口学特征的数据。使用SPSS 27版进行描述性统计分析。
结果
参与者对使用非处方药物进行自我护理的KAP水平令人满意。知识的均值±标准差为4.38±0.873，态度和行为的均值±标准差分别为27.56±3.752和20.35±4.235。观察到知识与态度（r = 0.375，p < 0.001）、态度与行为（r = 0.518，p < 0.001）以及知识与行为（r = 0.224，p < 0.001）之间存在显著的正线性相关。这意味着知识水平较高的参与者更有可能表现出特定的态度，并在自我护理方面有良好的行为。然而，93%的参与者有错误的观念，认为在孕期的任何阶段都可以使用任何药物，26.3%的参与者不知道孕期服用的药物会影响胎儿。令人惊讶的是，87%的人错误地认为抗生素可以作为非处方药购买。此外，大多数参与者（96%）认为他们可以在孕期使用旧处方购买药物。
结论
建议在孕期提高对使用非处方药物进行自我护理的认识。
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