某院门诊患儿监护人用药风险知识-态度-行为调研  

Investigation on Knowledge-Attitude-Practice of Drug Use Risk of Guardians of Outpatient Children in a Hospital

作　　者：敖格日乐图 肖志彬 孙蕊 王晓波 武雪琴 德力格日朝克图 康晓娜 AO Geriletu;XIAO Zhibin;SUN Rui;WANG Xiaobo;WU Xueqin;Deligerizhaoketu;KANG Xiaona(Inner Mongolia Autonomous Region International Mongolian Medicine Hospital,Hohhot,Inner Mongolia,China 010065;School of Pharmacy,Inner Mongolia Medical University,Hohhot,Inner Mongolia,China 010110;Xilin gol League Central Hospital,Xilin gol,Inner Mongolia,China 026099;Kulun Banner General Hospital,Tongliao,Inner Mongolia,China 028299)

机构地区：[1]内蒙古自治区国际蒙医医院,内蒙古呼和浩特010065 [2]内蒙古医科大学药学院,内蒙古呼和浩特010110 [3]内蒙古自治区锡林郭勒盟中心医院,内蒙古锡林郭勒026099 [4]内蒙古自治区通辽市库伦旗总医院,内蒙古通辽028299

出　　处：《中国药业》2025年第8期33-37,共5页China Pharmaceuticals

基　　金：中国药学会科技开发中心科普项目[CMEI2022KPYJ001125];内蒙古自治区卫生健康委员会公立医院科研联合基金科技项目[2024GLLH0155]。

摘　　要：目的分析患儿监护人(简称监护人)用药风险的知识-态度-行为(KAP)现状。方法选取在内蒙古自治区国际蒙医医院门诊监护人作为调研对象。通过“问卷星”平台制作儿童用药KAP相关问卷,并于2022年5月1日至9月30日向监护人发放。调查内容包括监护人的基本情况、KAP得分及模型适配度。采用描述性统计方法和Amos 24.0软件构建、分析结构方程模型。结果共回收有效问卷734份(其中在线问卷722份,蒙文纸质问卷12份)。不同年龄、月收入、居住地、亲属关系、文化程度、职业监护人用药风险知识得分,不同月收入、居住地、文化程度、监护人用药风险态度得分,以及不同居住地监护人用药风险行为得分比较,差异均有统计学意义(P<0.05)。监护人用药知识的总知晓率为85.87%,态度总持有率为60.67%,行为总执行率为26.67%。知识对态度,态度对行为,知识对行为的直接效应值分别为0.48,0.65,0.20,表明构建的KAP结构方程模型的适配度良好。结论监护人主观获取药品知识的意愿较强,态度良好,但提高患儿童安全用药行为的效果不佳。应对其合理开展门诊用药教育促进KAP的协调发展。Objective To analyze the status quo of knowledge-attitude-practice(KAP)of medication risk of guardians of children(referred to as guardians).Methods The outpatient guardians of the Inner Mongolia Autonomous Region International Mongolian Medicine Hospital were selected as the research subjects.A questionnaire on KAP related to children's medication was made through the"Questionnaire Star"platform and distributed to guardians from May 1 to September 30,2022.The survey included the basic situation of the guardian,KAP score and model fit.Descriptive statistical method and Amos 24.0 software were used to construct and analyze the structural equation model.Results A total of 734 valid questionnaires were collected(including 722 online questionnaires and 12 Mongolian paper questionnaires).The scores of medication risk knowledge of guardians for different ages,monthly income,place of residence,kinship,education level and profession,the scores of medication risk attitude of guardians for different monthly income,place of residence,education level and profession,and the scores of medication risk practice of guardians in different places of residence were statistically significant(P<0.05).The total awareness rate of guardians'medication knowledge was 85.87%,the total holding rate of attitude was 60.67%,and the total implementation rate of practice was 26.67%.The direct effects of knowledge on attitude,attitude on practice,and knowledge on practice were 0.48,0.65,and 0.20,respectively,indicating that the KAP structural equation model constructed in this study had a good fit.Conclusion Guardians have a strong willingness to acquire drug knowledge and a good attitude,but the effect of improving children's safe medication behavior is not good.It is necessary to carry out reasonable outpatient medication education and promote the coordinated development of KAP.

关 键 词：门诊 患儿 监护人 安全用药 知识-态度-行为 结构方程模型 

分 类 号：R95[医药卫生—药学]