湖北省部分地区妊娠和哺乳期妇女用药安全风险知信行调查及影响因素分析  

KAP Investigation and Influential Factor Analysis on the Risk of Medication SafetyAmong Pregnant and Lactating Women in Certain Areas of Hubei Province

作　　者：张莹 贺思洁 夏毛英 张莎莎[1] 万蒞 ZHANG Ying;HE Sijie;XIA Maoying;ZHANG Shasha;WAN Li(Department of Pharmacy,Maternal and Child Health Hospital of Hubei Province,Wuhan 430070,China)

机构地区：[1]湖北省妇幼保健院药学部,武汉430070

出　　处：《医药导报》2025年第2期341-348,共8页Herald of Medicine

基　　金：中国药学会全国医药信息网科普研究重点项目(CMEI2022KPYJ001122)。

摘　　要：目的调查湖北省内妊娠和哺乳期妇女在药物使用方面的知识、态度和行为(KAP)现状,了解妊娠和哺乳期妇女对药学服务的客观需求,分析其在用药过程中存在的风险点,为探索适合妊娠和哺乳期妇女的安全用药教育模式提供数据支撑。方法通过多中心研究形式,以妊娠和哺乳期妇女为研究对象,对其基本信息、用药KAP情况进行问卷调查,采用单因素方差分析、非参数检验和多重线性回归进行数据分析。结果共收集有效问卷548份,妊娠和哺乳期妇女用药知识、用药行为、用药态度的平均得分分别为(58.26±30.68)、(52.18±22.32)、(46.60±14.66)分,用药知识和行为整体处于良好水平,用药态度达到及格水平。从评分结果看,妊娠和哺乳期妇女对安全用药知识有一定程度的了解,接受合理用药教育的态度较好。然而,在日常的用药行为中仍存在一定的安全隐患。多重线性回归结果显示,影响妊娠和哺乳期妇女用药KAP的主要因素是年龄、受教育程度和职业。结论妊娠和哺乳期妇女对安全用药教育的需求迫切,建议根据不同科普对象的知识盲点和用药误区有针对性地开展用药教育,合理利用微信公众号、视频号等新媒体平台,结合义诊、合理用药知识讲座等科普活动,为妊娠和哺乳期妇女提供便捷、实用的安全用药科普内容。Objective To investigate the knowledge,attitude,and practice(KAP)related to medication use among pregnant and lactating women in Hubei province,to comprehend the specific requirements of pregnant and lactating women for pharmaceutical assistance,to assess the critical stages in the process of medication,and to furnish factual backing for devising a secure medication education framework tailored to pregnant and lactating women.Methods Through a multi-center study design,with pregnant and lactating women as the research subjects,a questionnaire survey was carried out to gather fundamental information and assess their knowledge,attitude,and practices towards medication use.Data analysis involved utilizing one-way analysis of variance,non-parametric tests,and multiple linear regression.Results A total of 548 valid questionnaires were collected.The average scores for knowledge,practice and attitude among pregnant and lactating women were(58.26±30.68),(52.18±22.32),and(46.60±14.66)points,respectively.Overall,the scores for medication knowledge and behavior were good,while the attitude scores were passable.These results suggest that pregnant and lactating women have a certain level of understanding about safe medication practices and hold a positive attitude towards receiving medication education.However,there are still potential safety hazards in their daily medication behavior.The results of multiple linear regression indicate that age,educational level,and occupation are the main factors influencing the knowledge,attitude,and practice of medication use among pregnant and lactating women.Conclusions Pregnant and lactating women require urgent education on the safe use of medication.It is recommended that targeted drug education should be carried out based on the knowledgegaps and medication misconceptions of different objects.Additionally,it is crucial to effectively utilize new media platforms,such as WeChat official accounts and channels,and to engage in offline scientific outreach activities,such as offering fre

关 键 词：妊娠哺乳期妇女 知识-态度-行为 合理用药 

分 类 号：R951[医药卫生—药学]