腹泻儿童用药依从性、用药态度现状及影响因素分析  

Analysis of medication compliance,medication attitude and influencing factors in children with diarrhea

作　　者：孙瑞雪 朱莉 刘文莉[3] Sun Ruixue;Zhu Li;Liu Wenli(School of Clinical Medicine,Guizhou Medical University,Guiyang 550000,China;Department of Pediatric Gastroenterology,Guiyang Maternal and Child Health Hospital,Guiyang 550000,China;Department of Pediatric Infection,Guiyang Maternal and Child Health Hospital,Guiyang 550000,China)

机构地区：[1]贵州医科大学临床医学院,贵阳550000 [2]贵阳市妇幼保健院儿童消化科,550000 [3]贵阳市妇幼保健院儿童感染科,550000

出　　处：《中华消化病与影像杂志（电子版）》2024年第1期72-76,共5页Chinese Journal of Digestion and Medical Imageology(Electronic Edition)

基　　金：贵阳市科技计划项目(筑科合同〔2022〕-4-11)。

摘　　要：目的探讨腹泻儿童用药依从性、用药态度现状及影响因素,旨在为提高此类儿童用药依从性及改善用药态度提供更多参考。方法对2023年1月至2023年3月于贵阳市妇幼保健院药房取药腹泻患儿监护人790名开展居家用药情况调研,分析用药依从性及用药态度现状,采用单因素和多因素法评估腹泻儿童用药依从性及用药态度独立影响因素。结果研究者共向腹泻患儿监护人790名发放调研问卷,最终回收772份,剔除无效问卷3份,最终回收769份。用药依从性:完全依从250例,部分依从450例,不依从72例;用药态度:优秀243例,良好307例,及格126例,不及格85例。单因素分析显示,患儿年龄、是否独生子女、家长职业、药品剂型及用药时干预措施可能与腹泻患儿用药依从性有关(P<0.05),患儿年龄、家长职业、家长受教育水平及药品剂型均可能与腹泻患儿用药态度有关(P<0.05);Logistic回归模型多因素分析显示,患儿年龄、是否独生子女、家长职业、药品剂型及用药时干预措施是腹泻儿童用药依从性独立影响因素(P<0.05),患儿年龄、家长职业、家长受教育水平及药品剂型是腹泻患儿用药态度独立影响因素(P<0.05)。结论腹泻儿童用药依从性较差,用药态度亦有待进一步改善;患儿年龄、是否独生子女、家长职业、药品剂型及用药时干预措施均可直接影响腹泻儿童用药依从性,腹泻儿童用药态度则与患儿年龄和家长职业有关。Objective To investigate the current medication compliance,medication attitude and influencing factors in children with diarrhea to provide more reference for improving the medication compliance and medication attitude of such children.Methods A total of 790 guardians of children with diarrhea who received medicine from the pharmacy of Guiyang Maternal and Child Health Hospital were investigated on home medication use,medication compliance and medication attitude were analyzed in the period from January 2023 to March 2023,and the independent influencing factors of medication compliance and medication attitude of children with diarrhea were evaluated by univariate and multivariate methods.Results The researchers distributed questionnaires to 790 guardians of children with diarrhea,and finally recovered 772 questionnaires,excluding 3 invalid questionnaires,and finally recovered 769 questionnaires.According to medication compliance,there were 250 complete compliance cases,450 partial compliance cases and 72 non-compliance cases.According to the medication attitude,243 cases were excellent,307 cases were good,126 cases passed and 85 cases failed.The results of univariate analysis showed that the age of children,whether the child was the only child,the occupation of parents,drug dosage form and intervention measures may be related to the medication compliance of children with diarrhea(P<0.05).The age of children,occupation of parents,education level of parents and dosage form of drug may be related to medication attitude of children with diarrhea(P<0.05).Logistic regression model multivariate analysis results showed that the age of children,whether the child was the only child,parental occupation,drug dosage form and intervention measures were independent influencing factors for medication compliance of children with diarrhea(P<0.05).The age of children,occupation of parents,education level of parents and dosage form of drug were independent factors influencing the medication attitude of children with diarrhea(P<0.05)

关 键 词：腹泻 儿童 用药依从性 用药态度 影响因素 

分 类 号：R725.7[医药卫生—儿科]