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作 者:洪凌燕[1] 李冬晴[1] 李艳萍[1] 易敬林[2] 吴磊[3] 韩金祥[4] 李幼平[5] 李胜[4] 李鸿浩[5] 周小军[6]
机构地区:[1]南昌大学研究生院医学部,2010级南昌330006 [2]南昌大学医学院,南昌330006 [3]南昌大学公共卫生学院流行病学教研室,南昌330006 [4]山东省医学科学院,济南250062 [5]四川大学华西医院中国循证医学中心,成都610041 [6]南昌大学公共卫生学院社会医学教研室,南昌330006
出 处:《南昌大学学报(医学版)》2011年第10期13-16,共4页Journal of Nanchang University:Medical Sciences
基 金:"十一五"国家科技支撑计划(2008BAI65B22)
摘 要:目的了解基本型乡镇卫生院辖区居民家庭所备存的药物、医药器械及便携式药包情况,为设计适合农村居民使用的便携药包提供参考。方法采用单纯随机抽样与整群抽样相结合的方法,对河北、江西与甘肃3个基本型卫生院所辖139户居民的家庭常用药品与药械配备及放置情况进行了调查与分析。结果基本型乡镇居民家庭常用药物的配备率依次为:感冒药最高为63.3%、创口贴40.3%、风油精36.7%、清凉油36.0%、高血压用药23.0%、碘酊18.0%、糖尿病用药2.2%、其他24.5%。家庭常用药械的配备率依次为:体温计最高为44.6%、棉签39.6%、血压计8.6%、注射器7.2%、其他16.5%。家庭常用药品及药械主要存放在固定抽屉达48.9%,只有4.3%的家庭拥有特定的放置药品与药械的便携式药包。结论基本型卫生院辖区农村居民家庭药品配备率较高,且多数为非处方药;家庭医用器械配备率不高,家庭便携式药包配备率极低,药品与医用器械存放的随意性较大,可能成为不合理用药的隐患。宜加强农民家庭自备药使用的教育与管理,提高便携式药包配备率,逐步改善家庭不合理用药。Objective To understand the situation of reserve drugs,medical devices and porta- ble medical kits of rural households in service areas of basic township health centers in economically underdeveloped areas, and to provide a reference for the design of portable medicine kits suitable for rural residents. Methods The methods of simple random and cluster sampling were used to investigate and analyze the situation of commonly used drugs, medical devices and storages of 139 rural households from 3 basic township health hospitals in Hebei,Jiangxi and Gansu provinces, respectively. Results The storage rates of commonly used drugs of rural households were cold medicine (63.3%) ,wound paste (40.3%) ,essential balm (36.7%) ,cooling oil (36.0%) ,antihypertensive (23. 0%), iodine tincture (18. 0%), diabetes drugs (2. 2%) and other drugs (24.5%). The storage rates of medical devices were thermometer (44. 6%), cotton swab (39.6%),sphygmomanometer (8.6%),injector (7.2%) and other devices (16.5%). A total of 48.9% of families stored drugs and medical devices in fixed drawers. Only 4. 3% of families stored drugs and medical devices in special portable medical kits. Conclusion Rural families have a higher storage rate of household drugs in service areas of basic township health hospitals, and most drugs are non-prescription drugs. The storage rates of medical devices are not high. Only few rural households have portable medical kits. A lot of rural families place drugs and medical devices randomly. It may be a hidden danger of irrational drug use. Therefore,the education and self-man agement of drug utilization must be strengthened and storage rates of portable medical kits should be increased to gradually improve irrational drug utilization in rural households.
分 类 号:R161[医药卫生—公共卫生与预防医学]
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