社区居民对抗菌药物的认知和态度及使用情况分析

发布时间：2018-08-02 18:55

【摘要】：目的了解社区居民对抗菌药物的认知和态度及使用情况。方法 2014年3—8月,采用自行设计的《社区居民抗菌药物调查表》对宁波市江北区18岁以上1 784例社区居民进行调查,内容包括:基本情况、家庭备药情况、抗菌药物认知和态度及使用情况等。结果 74.2%(1 323/1 784)社区居民家中备有抗菌药物,但仅31.5%(560/1 778)能完全辨认抗菌药物,29.2%(520/1 781)、27.7%(492/1 776)了解所用抗菌药物的禁忌证和不良反应;56.5%(1 006/1 782)认为抗菌药物对病毒感染有效,感冒或流感期间抗菌药物自行使用率分别为56.9%(1 010/1 775)、26.0%(464/1 784);儿童感冒抗菌药物自行使用率为29.4%(522/1 776),63.9%(1 136/1 778)社区居民表示在给儿童使用抗菌药物时会更谨慎;39.6%(706/1 784)、40.3%(716/1 777)社区居民存在随意换药和停用的情况。不同年龄、学历和有无慢性病社区居民抗菌药物得分分布间差异有统计学意义(P0.05),年龄大、学历高和有慢性病的居民抗菌药物认知得分较高。结论社区居民对抗菌药物的认知不足,存在不合理使用现象,药师应利用自身优势开展抗菌药物药学服务,促进抗菌药物的合理使用。
[Abstract]:Objective to understand the cognition, attitude and use of antimicrobial agents in community residents. Methods from March to August 2014, a self-designed questionnaire on antimicrobial agents was used to investigate 1,784 community residents aged 18 years or older in Jiangbei District, Ningbo City. Knowledge, attitude and use of antimicrobial agents. Results 74.2% (1,323 / 1,784) of community residents had antimicrobial drugs in their homes, but only 31.5% (560 / 1,778) could fully identify antimicrobial agents 29.2% (520 / 1,781), 27.7% (492 / 1,776) knew the contraindications and adverse reactions of the antibiotics used, 56.5% (1,0061.782) thought that antibiotics were effective against virus infection. The self-use rate of antimicrobial agents during colds or influenza was 56.9% (1,010 / 1,775) or 26.0% (464r / 1,784), respectively, while that of children with colds was 29.4% (522 / 1,776), 63.9% (1,1366 / 1,778). Community residents said they would be more cautious in using antibiotics in children (7061,784) 40.3% (716 / 1 777). In cases of random change of medicine and discontinuation. There were significant differences in the distribution of antimicrobial agents between different ages, educational background and community residents with or without chronic diseases (P0.05). The residents with high educational background and chronic diseases had higher antimicrobial cognitive scores (P 0.05). Conclusion Community residents have insufficient knowledge of antimicrobial agents and irrational use of antibiotics. Pharmacists should take advantage of their own advantages to carry out antimicrobial pharmaceutical services to promote the rational use of antimicrobial agents.
【作者单位】：宁波大学医学院附属医院药剂科;
【分类号】：R95

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