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姆巴拉拉科技大学自行用药的本科生疾病体征和症状的缓解情况:一项横断面研究

Resolution of signs and symptoms of illnesses among self-medicating undergraduate students of Mbarara University of Science and Technology: a cross-sectional study.

作者信息

Mushemeza Ronald, Mwebaza Hannah, Amutuhaire Patience, Nakwanyi Diana, Twinomujuni Silvano Samba, Ojuka Silas

机构信息

Department of Pharmacy, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.

Department of Clinical pharmacy and Pharmacy practice, School of Pharmacy, Kampala International University, Ishaka, Uganda.

出版信息

J Pharm Health Care Sci. 2025 Jul 25;11(1):62. doi: 10.1186/s40780-025-00469-8.

Abstract

INTRODUCTION

Self-medication(SM) is highly prevalent among university students in Uganda, This poses various challenges to the local healthcare system and the nation at large. SM is notorious for its undesirable effects like adverse drug events, drug addiction, antimicrobial resistance, progression of disease to more complicated forms, prolonged morbidity and death. However, some studies have documented reports of resolution of signs and symptoms among self-medicating individuals. This study purposed to investigate the association between patterns of SM and resolution of signs and symptoms among undergraduate students enrolled at Mbarara University of Science and Technology (MUST).

METHODS

A descriptive cross-sectional study was conducted at Mbarara University of Science and Technology in Uganda from February 2024 to April 2024. A physical close-ended self-administered questionnaire was used to collect data from respondents. Analysis was done using SPSS version 25. The patterns of SM and the proportion of respondents who reported resolution of signs and symptoms were analysed and presented using descriptive statistics. Pearson's Chi-square was performed to analyse the association between patterns of SM and resolution of signs and symptoms at the significance level of P < 0.05.

RESULTS

Out of 387 respondents, the prevalence of self medication was 71.1% (275/387). Majority of respondents who self-medicated, 85.1% (234/275), reported resolution of signs and symptoms of their illnesses. Most respondents who self-medicated were treating cough, 65.1% (179/275), and headache, 58.5% (161/275). Most of them used cough medications, 63.3% (174/275), and over-the-counter pain relievers, 51.3% (141/275). In the current study there was a statistically significant association between resolution of signs and symptoms and; having cough, (X(1, N = 178) = 3.851, p = 0.050), having sore throat, (X(1, N = 64) = 4.983, p = 0.026), and use of cough or cold remedies, (X(1, N = 173) = 5.668, p = 0.017).

CONCLUSION

The findings of the current study are suggestive of the popularity of SM among students attending university in sub-Saharan Africa. This study also brings to light the significance of SM to the health care of this population. However, the convenience of resolution of signs and symptoms could mask looming dangers of SM that should be seriously considered by all stakeholders of public health.

摘要

引言

自我药疗(SM)在乌干达大学生中极为普遍,这给当地医疗系统乃至整个国家带来了各种挑战。自我药疗因其不良影响而声名狼藉,如药物不良事件、药物成瘾、抗菌药物耐药性、疾病进展为更复杂的形式、发病率延长和死亡。然而,一些研究记录了自我药疗个体症状和体征缓解的报告。本研究旨在调查姆巴拉拉科技大学(MUST)本科学生自我药疗模式与症状和体征缓解之间的关联。

方法

2024年2月至2024年4月在乌干达的姆巴拉拉科技大学进行了一项描述性横断面研究。使用封闭式自填式问卷从受访者那里收集数据。使用SPSS 25版进行分析。对自我药疗模式以及报告症状和体征缓解的受访者比例进行分析,并使用描述性统计数据呈现。进行Pearson卡方检验以分析自我药疗模式与症状和体征缓解之间在P < 0.05显著性水平上的关联。

结果

在387名受访者中,自我药疗的患病率为71.1%(275/387)。大多数自我药疗的受访者,85.1%(234/275),报告其疾病的症状和体征得到缓解。大多数自我药疗的受访者正在治疗咳嗽,65.1%(179/275),以及头痛,58.5%(161/275)。他们中的大多数使用止咳药,63.3%(174/275),以及非处方止痛药,51.3%(141/275)。在本研究中,症状和体征缓解与以下因素之间存在统计学上的显著关联:咳嗽,(X(1, N = 178) = 3.851,p = 0.050),喉咙痛,(X(1, N = 64) = 4.983,p = 0.026),以及使用止咳或感冒药,(X(1, N = 173) = 5.668,p = 0.017)。

结论

本研究结果表明自我药疗在撒哈拉以南非洲的大学生中很普遍。这项研究还揭示了自我药疗对这一人群医疗保健的重要性。然而,症状和体征缓解的便利性可能掩盖了自我药疗潜在的危险,公共卫生的所有利益相关者都应认真考虑这一点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a35/12291416/47f122e96534/40780_2025_469_Fig1_HTML.jpg

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