武汉市城区3～7岁儿童家庭用药情况调查及相关因素分析  

Investigation and Relative Factors Analysis on the Cognition and Behavior of 3-7-year-old Children Home-nursing Medication in Urban Area of Wuhan

作　　者：赵瑛[1] 陶瑜 胡琪[1] 郑思维[1] 黄璞[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院药剂科,武汉430022 [2]武汉经济技术开发区神龙幼儿园

出　　处：《药物流行病学杂志》2017年第5期344-348,共5页Chinese Journal of Pharmacoepidemiology

基　　金：中央高校基本科研业务费专项资金项目(编号:2014QN063);湖北省药品(医疗器械)不良反应监测中心项目(编号:2015BA19)

摘　　要：目的:调查武汉市城区3~7岁儿童家长对安全用药的认知和家庭用药行为现状,为提高城区儿童安全用药水平提供参考。方法:随机整群抽取武汉市城区的3所幼儿园,以问卷形式调查3~7岁儿童的家庭用药情况,以及家长对儿童用药的相关认知,并对结果进行统计分析。结果:共发放问卷800份,回收问卷726份,回收率为90.75%,其中有效问卷695份,有效率为86.88%。儿童用药前家长经常阅读药品说明书的占80.43%。文化程度越高的家长,阅读说明书的比例越高(P<0.01);4.46%的被调查家长曾给儿童使用成人药;20.17%家长曾给孩子国外购药;38.27%家长最喜欢的宣教形式是网络交流;73.09%的家长非常关注儿童用药的安全性;但不良反应正确知晓率仅为48.06%,家长文化程度越高答题的正确率相应越高(P<0.01)。结论:武汉市城区儿童家长的安全用药知识、安全用药行为仍然存在不足。家长应通过正规渠道购买合格药品,药品使用前详细阅读说明书;政府部门和生产企业应加大儿童药品的研发投入和支持力度;应利用新媒体以更通俗易懂的方式进行安全用药宣传,尤应关注药品不良反应相关知识普及,以保障儿童的家庭用药安全。Objective：To investigate the current situations of cognition and behavior of 3-7-year-old children home-nursing medication in urban area of Wuhan, provide reference for improving level of children medication safety in urban area. Methods：Three kindergartens were chosen randonly from urban area of Wuhan by cluster sampling. Survey was conducted by questionnaire, 3-7 year-old children home-nursing medication and parents of children＇s medicine related cognition were investigated, the results were statistically analyzed. Results ： A total of 800 questionnaires were issued, 726 questionnaires were recovered, 695 of which were valid, and the rate of was 90.75% and 86.88% respectively. 80.43% respondents read instructions before pediatric medicines, and the proportion was significantly increased by the improvement of the parents＇ education （P 〈 0.01 ）. 4.46% respondents have given adult medicine to children. 20.17% of the parents have purchased drugs oversea. 38.27% respondents chose preference of the propaganda forms was network including we chat. 73.09% of the parents were concerned about relevant knowledge, while the correct awareness rate of the parents to ADR was only 48.06%, which was increasing according to the parents＇ education （P 〈 0.01 ）. Conclusion：The current situations of cognition and behavior of children family medication in Wuhan city still have some problems. Parents should purchase qualified drugs through formal channels. Government should provide policy support for the research and development of children＇s medicine. To ensure the safety of children family medication, new media should be adopted in a more comprehensible way for safe drug use propaganda, especially knowledge of ADRs.

关 键 词：儿童 家庭用药 药品不良反应 调查 

分 类 号：R969.3[医药卫生—药理学]