三金片用药安全风险的KAP调查与分析

KAP investigation and analysis of drug use safety risk of Sanjin tablets

目的 探讨三金片用药人群的用药认知、态度、行为(KAP)3个方面的知晓情况及其影响因素。方法 通过线上、线下结合调查的方式对河南省中医药大学第一附属医院2020年6-12月使用三金片的门诊及住院患者的人口学特征、用药认知、态度、行为进行问卷调查和量表评分。采用单因素方差分析和多重线性回归分析筛选影响三金片用药人群KAP的因素。结果 本次调查共收集到有效问卷503份(有效回收率99.60%),三金片用药人群的用药认知得分(26.74±6.82)分,用药态度得分(7.82±3.75)分,用药行为得分(21.72±5.56)分,整体评分分别为良好、优秀、良好。单因素方差分析结果显示,不同年龄、职业和医疗保险类型的三金片用药人群的用药认知和用药行为得分差异显著(P<0.05),不同年龄、职业、受教育程度、医疗保险类型的三金片用药人群的用药态度得分差异显著(P<0.05)。多重线性回归分析结果显示,年龄、职业、受教育程度、医疗保险类型均是影响三金片用药人群用药认知和用药态度的主要因素(P<0.05);受教育程度和医疗保险类型是影响三金片用药人群用药行为的主要因素(P<0.05)。结论 大部分三金片用药人群安全用药信息获取态度良好,但用药认知及实际用药行为存在安全隐患;需对个别年龄段、低学历等人群加强用药教育和宣传,对不同职业特点和医疗保险类型的人群开展用药宣教,以促进安全、合理用药。

OBJECTIVE To investigate the awareness of the patients receiving Sanjin tablets in knowledge-attitude-practice(KAP)aspect,and its influential factors.METHODS Demographic characteristics,medication knowledge,attitude and practice of outpatients and inpatients who used Sanjin tablets in the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from June to December 2020 were investigated online and offline for questionnaire survey and scale scoring.Oneway variance analysis and multiple linear regression analysis were used to screen the influential factors for KAP of the patient receiving Sanjin tablets.RESULTS A total of 503 valid questionnaires(effective recovery rate of 99.60%)were collected in this survey.The drug use knowledge score of Sanjin tablet users was(26.74±6.82)points,the drug use attitude score was(7.82±3.75)points,and the drug use practice score was(21.72±5.56)points.The overall scores were good,excellent and good,respectively.The results of oneway variance analysis showed that there were significant differences in drug use knowledge and drug use practice scores among the patients receiving Sanjin tablets with different ages,occupations and medical insurance types(P<0.05);there were significant differences in drug use attitude scores among the patients receiving Sanjin tablets with different ages,occupations,education levels and medical insurance types(P<0.05).The results of multiple linear regression analysis showed that ages,occupations,education levels and medical insurance types were the main factors affecting the drug use knowledge and drug use attitude of the patients receiving Sanjin tablets(P<0.05);education levels and medical insurance types were the main factors affecting the drug use practice of the patients receiving Sanjin tablets(P<0.05).CONCLUSIONS Most of the patients receiving Sanjin tablets have a good attitude towards the acquisition of safe medication information,but the knowledge to drug use and the actual drug use practice still have certain hidden danger in security;it is necessary to strengthen drug use education and publicity for individual age groups,low-educational background groups and other people,carry out the drug education among the population with different vocational characteristics and medical insurance types in order to promote safe and rational drug use.