摘要
目的了解重庆市居民用药知识-态度-行为(KAP)的现状,探索可能引起居民用药行为风险的因素。方法采用横断面研究方法于2020年9至11月对≥19岁的重庆市常住居民进行线上KAP问卷调查,采用最优尺度回归分析研究居民基本信息对用药KAP的影响。结果本次调查问卷共发放1530份,最终获取有效问卷1431份,回收率为93.53%。重庆市居民用药认知、态度、行为平均得分分别为(71.65±25.17)、(40.73±11.59)、(58.16±17.33)分,评分均达到问卷结果评价标准中的“良好”。最优尺度回归分析结果显示,影响居民用药认知得分的因素有年龄、月收入、医疗保障状况(社会基本医疗保险、商业保险、公费医疗)、受教育程度、工作状况和职业(P<0.05);影响居民对用药态度得分的因素有年龄、月收入、医疗保障状况(公费医疗)、工作状况和职业(P<0.05);影响居民用药行为得分的因素有月收入、医疗保障状况(公费医疗)、受教育程度、工作状况和职业(P<0.05)。结论通过对重庆市居民用药风险的KAP调查分析发现,重庆市居民平均用药风险较低,但对特殊人群仍需加强用药教育,需重点关注职业自由人群、离退休/无业人群、高收入人群以及低教育水平人群。
Objective To understand the current situation of knowledge-attitude-practices(KAP)of medication of residents in Chongqing,and to explore potential risk factors that may affect medication.Methods A cross-sectional study was adopted to conduct an online KAP questionnaire survey on Chongqing permanent residents aged≥19 years old from September to November 2020,and the impact of basic information on KAP of medication was studied by optimal scale regression analysis.Results A total of 1530 questionnaires were distributed,and 1431 valid questionnaires were obtained,with a recovery rate of 93.53%.The average scores of residents in Chongqing on medication knowledge,attitude and practices were(71.65±25.17),(40.73±11.59)and(58.16±17.33)points,respectively,which reached the"good"in the evaluation standard of questionnaire results.The optimal scale regression analysis results showed that the factors influencing the cognitive score of residents'medication were age,monthly income,medical insurance(social basic medical insurance,commercial insurance,public medical care),education level,work status and occupation(P<0.05);the factors influencing the attitude score of residents'medication were age,monthly income,medical security status(public medical care),working status and occupation(P<0.05);the factors influencing the behavior score of residents'medication were monthly income,medical security status(public medical care),education level,work status and occupation(P<0.05).Conclusion Through the KAP investigation and analysis of the drug use risk of Chongqing residents,it is found that the average medication risk of residents in Chongqing is low,but medication education should be strengthened for special groups,focusing on the free occupation group,retired/unemployed group,high-income group and low-level education group.
作者
冉海龙
董育珠
杜倩
陈诚
奚鑫
RAN Hailong;DONG Yuzhu;DU Qian;CHEN Cheng;XI Xin(Pharmacy Department,the Third Affiliated Hospital of Chongqing Medical University(Gener Hospital),Chongqing 401120,China)
出处
《临床医学研究与实践》
2021年第14期22-25,44,共5页
Clinical Research and Practice
基金
中国药学会全国医药经济信息网科技传播创新工程2020年重点项目(No.CMEI2020KPYJ00146)。
关键词
知识-态度-行为
用药风险
最优尺度回归分析
knowledge-attitude-practices
medication risk
optimal scale regression analysis
作者简介
冉海龙(1991-),女,土家族,重庆人,药师,硕士。研究方向:临床药学;通讯作者:奚鑫,E-mail:xixin@hospital.cqmu.edu.cn.
