Hassan Nadira Mansour, Koabar Shimaa Mohamed Mohamed
Public Health and Community Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
BMC Med Educ. 2025 Jan 21;25(1):99. doi: 10.1186/s12909-025-06678-x.
Self- medication leading to wastage of limited resources in developing countries, prolonged suffering, increase resistance to drugs and may result in significant medical complications such as adverse drug responses and dependence. Self-medication is extensively used by health professionals. Undergraduate medical students as being the future physicians representing a main pillar in health care system thus have special significance. This study aimed to estimate the prevalence of self-medication and identify its pattern among medical students in Tanta university, Egypt.
A four-month cross-sectional study was carried out among Egyptian undergraduate medical students at Tanta University, from first to final year. (November 2023 - February 2024). The students were chosen using a two-stage cluster sampling method, and data on sociodemographic and self-medication patterns were collected using a predesigned semi-structured self-administered questionnaire.
The prevalence of self-medication was 71%. The key determinants of self-medication was students' medical knowledge from self- experience and studies (55.9%). Headache was a common complaint for self-medication (80.4%). Majority of them (88.3%) use pharmaceutical products where analgesics lies on top (92.4%). The degree of popularity of the medicine was the primary reason for drug selection (52.5%) and recommendation of the pharmacist was the main determinate of selecting type of drug (43.6%). However, 30.2% experienced side effects, of which 50% went to private physician and 33.5% stopped taking their medications. Half of the students took antibiotics for self-medication.
Self-medication is a common practice among medical students. where headache was the common symptom and the most commonly utilized medications for self-medication were analgesics. There is a need to augment the value of diagnosis, awareness and seriousness of this practice.
在发展中国家,自我药疗会导致有限资源的浪费、痛苦的延长、耐药性增加,并可能引发严重的医学并发症,如药物不良反应和药物依赖。自我药疗在卫生专业人员中广泛存在。本科医学生作为未来的医生,是医疗保健系统的主要支柱,因此具有特殊意义。本研究旨在估计埃及坦塔大学医学生自我药疗的患病率,并确定其模式。
在坦塔大学对埃及本科医学生进行了为期四个月的横断面研究,从一年级到最后一年(2023年11月至2024年2月)。采用两阶段整群抽样方法选取学生,并使用预先设计的半结构化自填式问卷收集社会人口学和自我药疗模式的数据。
自我药疗的患病率为71%。自我药疗的关键决定因素是学生通过自身经验和学习获得的医学知识(55.9%)。头痛是自我药疗最常见的症状(80.4%)。他们中的大多数人(88.3%)使用药品,其中止痛药位居榜首(92.4%)。药品的受欢迎程度是选择药物的主要原因(52.5%),药剂师的推荐是选择药物类型的主要决定因素(43.6%)。然而,30.2%的学生经历过副作用,其中50%的人去看了私人医生,33.5%的人停止了用药。一半的学生自我药疗时服用过抗生素。
自我药疗在医学生中很常见。头痛是常见症状,自我药疗最常用的药物是止痛药。有必要提高对这种做法的诊断、认识和重视程度。