鄂尔多斯地区儿童家长的抗菌药物用药风险KAP调查及影响因素分析

KAP investigation and analysis of medication risks among parents of children using antibiotics in Ordos

目的调查鄂尔多斯地区使用抗菌药物的儿童家长用药知识、态度、行为(KAP)现状,分析儿童家长在用药过程中存在的风险及主要影响因素,为鄂尔多斯地区儿童家长合理用药宣教提供建议。方法通过问卷对鄂尔多斯地区使用抗菌药物儿童家长的基本信息和用药KAP情况进行调查,分析儿童家长用药KAP现状及风险因素。结果共收集有效问卷429份,鄂尔多斯地区儿童家长用药知识、态度和行为的得分分别为(41.33±12.54)、(30.76±8.01)和(27.94±10.33),用药知识和态度整体评价为“良好”,用药行为整体评价为“优秀”。多重线性回归分析结果显示,影响儿童家长用药知识的主要因素为性别、居住地和受教育程度;影响用药态度的主要因素为受教育程度;影响用药行为的主要因素为性别和医疗保障状况。结论鄂尔多斯地区使用抗菌药物的儿童家长具有相对较好的用药知识和用药态度以及较为安全的用药行为,但仍存在一定的用药风险,应重点加强对男性、农村地区、低学历家长开展针对性的合理用药宣教,保障儿童用药安全。

AIM To investigate the current status of knowledge,attitudes and behavior(KAP)among parents of children using antibiotics in Ordos,and analyze the risks and primary influencing factors in the process of medication of children's parents,and provide suggestions for rational medication education for parents of children in Ordos.METHODS Conduct a survey through questionnaires to gather basic information and assess the KAP status of parents of children using antibiotics in Ordos.Analyze the current situation and risk factors related to the KAP of parents in the medication process.RESULTS A total of 429 valid questionnaires were collected.The average scores for medication knowledge,attitudes and behavior of children's parents in Ordos were(41.33±12.54),(30.76±8.01)and(27.94±10.33)respectively.The overall assessment of medication knowledge and attitudes was"good",and the overall assessment of medication behavior was"excellent".The multiple linear regression indicated that the primary factors affecting medication knowledge among parents were gender,residence and educational level.Educational level was the main factor affecting medication attitudes.The main factors influencing the behavior of drug use were gender and medical insurance status.CONCLUSION Parents of children using antibiotics in Ordos generally possess good medication knowledge,attitudes and safe medication behavior.However,there are still certain medication risks.It is necessary to focus on targeted education for rational drug use for males,rural parents and parents with low education levels.This approach aims to ensure the safety drug use for children.