本科生的象形图理解能力与用药知识水平：一项横断面调查研究。
Pictogram comprehension and medication-use literacy among undergraduate students: a cross-sectional survey study.
作者信息
Saramunee Kritsanee, Sungthong Bunleu, Taengthonglang Chatmanee, Phimarn Wiraphol
机构信息
Social Pharmacy Research Unit, Faculty of Pharmacy, Mahasarakham University, Kantharawichai, Thailand.
Integrative Pharmaceuticals and Innovation of Pharmaceutical Technology Research Unit, Faculty of Pharmacy, Mahasarakham University, Mahasarakham, Thailand.
出版信息
J Pharm Policy Pract. 2025 Jun 27;18(1):2522312. doi: 10.1080/20523211.2025.2522312. eCollection 2025.
BACKGROUND
Pictograms are widely used in pharmacy practice to enhance patient understanding, especially in contexts where language or health literacy barriers exist. However, limited data are available on the comprehension of United States Pharmacopeia Convention: Drug Information for the Health Care Professional (USP-DI) pictograms among Thai undergraduate students. This study assessed the understanding of USP-DI pictograms and medication-use literacy, and explored factors associated with pictogram comprehension.
METHODS
A cross-sectional survey using a structured questionnaire was conducted among 637 university students between August 2023 and April 2024. The Medication Use Literacy Test (MULT) assessed literacy, and the USP-DI pictogram comprehension test evaluated visual understanding. Binary logistic regression was used to identify factors associated with comprehension levels.
RESULTS
Among the 637 participants, the MULT revealed high literacy, with over 90% of questions answered correctly. The mean score for USP-DI pictogram comprehension was 21.82 ± 3.82. Students in health sciences programmes demonstrated the highest proficiency in both tests, followed by those in social sciences and science and technology programmes, with statistically significant differences ( < 0.05). Logistic regression analysis revealed that students aged >20 years had lower pictogram comprehension than younger students (odds ratio [OR] = 0.47; 95% confidence interval [CI]: 0.25-0.88; = 0.02). Students with a Grade Point Average <3.00/4.00 (OR = 0.55; 95% CI: 0.32-0.96; = 0.04) and those from non-health science faculties (OR = 0.04; 95% CI: 0.02-0.08; < 0.001) also showed significantly lower comprehension levels.
CONCLUSIONS
This study highlights disparities in pictogram comprehension among Thai undergraduates and affirms the influence of academic discipline, age, and academic performance. The findings support the need for targeted educational strategies to enhance medication-use literacy and pictogram understanding.
背景
象形图在药学实践中被广泛使用，以提高患者的理解能力，尤其是在存在语言或健康素养障碍的情况下。然而，关于泰国本科学生对《美国药典大会：医疗保健专业人员药物信息》（USP-DI）象形图的理解的数据有限。本研究评估了对USP-DI象形图的理解和用药素养，并探讨了与象形图理解相关的因素。
方法
在2023年8月至2024年4月期间，对637名大学生进行了一项使用结构化问卷的横断面调查。用药素养测试（MULT）评估素养，USP-DI象形图理解测试评估视觉理解。二元逻辑回归用于确定与理解水平相关的因素。
结果
在637名参与者中，MULT显示出较高的素养，超过90%的问题回答正确。USP-DI象形图理解的平均得分为21.82±3.82。健康科学专业的学生在两项测试中表现出最高的熟练度，其次是社会科学以及科学与技术专业的学生，差异具有统计学意义（<0.05）。逻辑回归分析显示，年龄大于20岁的学生象形图理解能力低于年轻学生（优势比[OR]=0.47；95%置信区间[CI]：0.25-0.88；=0.02）。平均绩点低于3.00/4.00的学生（OR=0.55；95%CI：0.32-0.96；=0.04）以及非健康科学学院的学生（OR=0.04；95%CI：0.02-0.08；<0.001）的理解水平也显著较低。
结论
本研究突出了泰国本科生在象形图理解方面的差异，并肯定了学科、年龄和学业成绩的影响。研究结果支持需要有针对性的教育策略来提高用药素养和象形图理解能力。
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