基于KAP理论的南宁市妊娠期妇女用药行为风险调查及影响研究

Study on the risk and influence of drug use behavior among pregnant women in Nanning City based on KAP theory

目的调查广西壮族自治区南宁市妊娠期妇女用药行为风险的知识-态度-行为(KAP)现状及影响因素,为开展药学科普教育、个体化药学服务提供数据支持与参考。方法2022年1月至2月,以纸质问卷和电子问卷两种形式,对南宁市妊娠期妇女(年龄≥19岁)的基本信息、用药风险KAP情况展开问卷调查,采用单因素分析、二元logistic回归分析对不同特征妊娠期妇女用药行为风险KAP评分的影响因素进行分析。结果广西南宁市妊娠期妇女用药行为风险KAP总分平均(266.27±18.70)分,其中知识平均得分(143.84±12.36)分,态度平均得分(17.94±4.48)分,行为平均得分(104.49±8.83)分。参照结果评价标准,KAP总体评分为良好。二元logistic回归分析显示,受教育程度(β=0.684,OR=1.982,95%CI:1.299~3.023)是南宁市妊娠期妇女用药行为风险KAP总分的独立影响因素(P=0.001)。结论南宁市妊娠期妇女用药行为风险的KAP水平良好,用药风险较低。但仍需进一步优化用药教育形式,建议建立妊娠期用药分级制度和妊娠妇女用药登记制度,关注低文化程度、低收入人群、自由职业者、无业人员用药,提高妊娠期妇女用药安全素养。

Objective To investigate the knowledge-attitude-practice(KAP)status and influencing factors of pregnant women in Nanning City,Guangxi Zhuang Autonomous Region,and to provide data support and reference for the development of general education in pharmacy and individualized pharmacy services.Methods From January to February 2022,a questionnaire survey was conducted on the basic information and KAP of drug use risk of pregnant women(aged≥19 years old)in Nanning City in the form of paper questionnaires and electronic questionnaires.Univariate analysis and binary logistic regression analysis were used to analyze the influencing factors of KAP score of drug use behavior risk of pregnant women with different characteristics.Results The total average KAP score of drug use behavior risk of pregnant women in Nanning City,Guangxi Province was(266.27±18.70)points,including the average knowledge score(143.84±12.36)points,the average attitude score(17.94±4.48)points,and the average behavior score(104.49±8.83)points.With reference to the evaluation standard,and KAP overall score as well.Binary logistic regression analysis showed that the level of education(β=0.684,OR=1.982,95%CI:1.299-3.023)was an independent influencing factor of the total KAP score of medication behavior risk of pregnant women in Nanning City(P=0.001).Conclusion The KAP level of pregnant women in Nanning City is good,and the medication risk is low.However,the form of medication education still needs to be further optimized.It is suggested to establish a classification system for pregnancy medication and a registration system for pregnant women.It is necessary to pay attention to the medication of low-educated people,low-income people,free workers,and unemployed people,and improve the medication safety literacy of pregnant women.