深圳市居民使用药品说明书情况及其影响因素研究

A study on use of drug inserts and its influencing factors among residents in Shenzhen City

目的探究深圳市居民说明书使用情况,为相关部门完善药品说明书及药品知识宣传等方面提供参考依据。方法采用非概率抽样方法,由深圳市社区服务中心义工上门服务时,依托问卷星平台对居民使用药品说明书情况进行问卷调查。采用SPSS 25.0软件对收集到的数据进行χ^(2)检验和Logistic回归分析。结果问卷共回收1592份,最终有效问卷为1566份,有效回收率为98.36%;用药前阅读药品说明书的占75.61%;因对说明书的理解偏差导致不安全用药的占22.92%;53.63%的居民在阅读说明书时遇到字体太小,或间距太小,不方便阅读等问题;57.34%的居民希望说明书以纸质版和电子版两种形式呈现;用药前阅读说明书受性别、文化程度以及从事/学习医药专业影响(χ^(2)=14.779、29.895、56.526,P<0.05)。Logistic分析显示,居民存在不安全用药行为与性别、年龄、从事/学习医药专业工作以及阅读药品说明书有关,OR值分别为0.338(95%CI:0.255-0.449)、0.324(95%CI:0.162-0.648)、0.140(95%CI:0.076-0.259)、0.436(0.280-0.679)。结论居民药品说明书使用率较高,其主要受性别、文化程度以及从事专业的影响;居民因不能正确或有效使用药品说明书导致不安全用药等仍有风险;仍需做好药品说明书相关知识宣传,正确地指导居民用药。

Objective To explore the use of drug inserts among residents in Shenzhen City,and to provide reference for relevant departments to improve drug instructions and drug knowledge publicity.Methods A non-probability sampling method was used,and a survey related to drug inserts use was conducted by volunteers from Shenzhen Community Service Center using digital questionnaire survey plaform.SPSS 25.O software was used to performχ^(2)test and logistic regression analysis.Results A total of 1592 questionnaires were collected,and the final valid questionnaire was 1566 with an effective recovery rate of 98.36%.75.61%of the residents read drug label before medication.Unsafe drug use due to deviation interpretation of instructions accounted for 22.92%.53.63%of the residents encountered problems such as too small font,or too small spacing,which was not convenient to read.57.34%of residents wanted the instruction manual may be presented in both paper and electronic form.The reading of instructions before medication was associated with gender,education level,and engaged/studied pharmaceutical profession(χ^(2)=14.779,29.895,56.526,P<0.05).Logistic analysis showed that the unsafe drug use behaviors of residents was related to gender,age,engage/study of pharmaceutical professional work and reading drug labels,and the 0R values were 0.338(95%Cl:0.255-0.449),0.324(95%Cl:0.162-0.648),0.140(95%Cl:0.076-0.259),0.436(0.280-0.679),respectively.Conclusion The use rate of drug inserts in residents is relatively high,which is mainly affected by gender,education level and professional practice.There are stll risks of unsafe drug use due to incorrect drug inserts use.It is still necessary to do more job in publicizing drug instructions knowledge and guiding residents to use drugs correctly.