长沙市家长儿童上呼吸道感染抗生素使用知识与行为调查

Knowledge and behavior of antibiotic use for upper respiratory tract infection among parents of young children in Changsha city

目的了解湖南省长沙市家长关于儿童上呼吸道感染使用抗生素的有关知识及行为现状。方法于2015年1—7月,在长沙市5个区的社区卫生服务中心预防接种处现场随机抽取前来带儿童注射疫苗的家长310人,采用自行设计的问卷对家长进行调查。结果所调查的310名家长中,知识水平平均得分为(18.81±4.83)分,正确认知率为69.67%,其中7个问题的正确率未达到50%;84.84%的家长表示希望或非常希望得到关于抗生素使用的相关知识,37.42%的家长会或有时会到药房为儿童购买抗生素;线性回归分析表明,儿童年龄、家长文化水平、医生是否为儿童开过抗生素对家长自行购买抗生素行为的影响有统计学意义。结论长沙市儿童家长关于抗生素合理使用的知识有待提高,绝大多数家长渴望得到关于抗生素使用的相关知识,家长到药店为儿童购买抗生素的行为与儿童年龄、家长文化水平、医生是否为儿童开过抗生素有关。

Objective To investigate the knowledge and behavior of antibiotic usage for upper respiratory tract infections （URTI） among parents of young children in Changsha city,Hunan province.Methods We randomly enrolled 310 parents of young children taking vaccinations at vaccination clinics of community health service centres in five districts of Changsha municipality for a survey with a self-developed questionnaire from January to July 2015.Results Among the parents,the average score for knowledge about antibiotic usage for URTI was 18.81±4.83 and 69.67% had correct cognition on the issue but less than 50% gave correct answers to the 7 out of 27 questions on antibiotic usage for URTI.Moreover,84.84% of the parents expressed their desire for acquiring knowledge about the use of antibiotics.Furthermore,37.42% of parents reported the experience of buying antibiotics for their babies from drug stores.Linear regression analysis revealed that the age of their children,education level of the parents,and whether their children having been prescribed with antibiotics by doctors were significant influencing factors to self-medication of URTI with antibiotics in the parents.Conclusion The knowledge about rational use of antibiotics needs to be promoted among the parents of young children in Changsha city and the majority of the parents are eager to acquire the knowledge;the parents＇ behavior of buying antibiotics from drug stores for the medication of their children are influenced by the age of their children,education level of themselves,and whether their children having been prescribed with antibiotics by doctors.