高原特需药使用依从性与高原反应发生率的相关性调查分析  

Investigation Research on the Correlation between the Compliance of Using High Altitude Special Medicines and Incidence of Mountain Sickness

作　　者：余漩[1] 郑婷[2] 李健杰[1] 游海燕[1] 黄朝晖[1] 

机构地区：[1]第三军医大学卫勤训练基地卫勤教研室,重庆400038 [2]西藏军区后勤部综合仓库,拉萨856000

出　　处：《中国药房》2015年第21期2894-2896,共3页China Pharmacy

基　　金：特殊军事环境与作业关键医学技术卫勤评估与转化模式研究(No.CWS12J091)

摘　　要：目的:为高原地区行动卫勤保障提供参考。方法:于2013年对急进高原部队375名官兵进行问卷调查,了解其高原特需药使用依从性和高原反应发生情况,并对其相关性进行分析。结果:发出问卷375份,回收有效问卷324份,有效回收率为86.4%。多维元素片、高原护肤霜、高原护唇膏的使用上,被调查者完全遵照医嘱使用率分别仅为30.9%、13.3%、40.1%。高原特需药使用依从性对相关高原反应症状发生有影响,遵医嘱组被调查者相关高原反应症状发生率均显著低于未遵医嘱组,差异有统计学意义(P<0.05)。结论:高原特需药能够较好地缓解和预防高原反应发生,但其使用依从性整体状况不够理想。应加强药物使用方面的宣传教育,并进行药物剂型、使用方法的相应改进,以提高其使用依从性,更好地发挥防护效果。OBJECTIVE：To provide reference for health service support at high altitude area. METHODS：375 servicemen who rapidly entered high altitude area were investigated by questionnaire in 2013 to investigate the compliance of using high altitude special medicines and incidence of mountain sickness and analyze its correlation. RESULTS：375 questionnaires were distributed and 324 questionnaires were collected with effective response rate of 86.4%. The utilization rate of Multivitamin tablet,Skin cream and Lip balm for high altitude area were 30.9%,13.3% and 40.1% respectively. The compliance of using high altitude special medicines had effect on the incidence of related mountain sickness. The incidence of mountain sickness of people who followed the physician＇s instructions was significantly lower than those who did not. The difference was statistically significant（P〈0.05）.CONCLUSIONS：High altitude special medicines can relieve and prevent the mountain sickness. But the overall compliance of using high altitude special medicines was not ideal. The education of high altitude special medicines should be strengthened,and dosage forms and medicine instruction should be enhanced to improve its compliance and play better protective effect.

关 键 词：高原特需药 使用依从性 高原反应 

分 类 号：R195[医药卫生—卫生统计学] R95[医药卫生—卫生事业管理]