【摘要】 目的提高公众的用药安全,促进合理用药。方法调查2020年7月至9月黄石地区居民用药行为风险的知识-态度-行为(KAP),分析不同人群的用药风险水平和安全用药教育现状,以及用药风险的影响因素。调查问卷采用《中国居民用药安全行为风险KAP调查研究》问卷,结果按6级量表进行赋分,评估居民用药风险水平(用药知识、用药前行为、用药时行为KAP得分,接触用药知识教育活动的频率和态度),统计不同人群的用药高风险情况,并计算高风险率。结果共获得有效问卷361份,有效回收率为94.01%。居民用药知识、用药前行为、用药时行为KAP得分均为低风险。男性、自费医疗、非医疗机构人员的居民用药前行为和用药时行为KAP得分更高(P <0.05)。年龄50岁以上、受教育程度为中专或高中及以下、非医疗机构人员用药知识的高风险率更高(P <0.05);男性、非医疗机构人员的用药前行为高风险率更高(P <0.05);自费医疗、受教育程度为中专或高中及以下、无/失业、非医疗机构人员用药时行为高风险率更高(P <0.05)。30.52%的居民从未接触用药知识或参与用药教育活动,62.11%的居民认为开展不同形式的用药教育是有必要或极有必要的。结论黄石地区居民存在不健康用药行为和安全隐患,安全用药意识有待提高。用药安全具有科学性、专业性、复杂性的特点,用药安全风险受年龄、受教育程度影响大。应提升医务工作者的用药安全意识,以促进居家药学服务,减少用药安全风险。更多还原

【Abstract】 Objective To improve the medication safety of residents,and to promote rational drug use.MethodsThe knowledge-attitude-practice(KAP) of medication use among residents in Huangshi area from July to September 2020 was investigated.The risk level of medication use,the current situation of safe medication education among different populations,and the influencing factors of medication behavior risk were analyzed.The questionnaire KAP Survey and Research on Medication Behavior Risk of Chinese Residents was adopted,and the results were scored according to the 6-level scale.The medication behavior risk level of residents(KAP scores of medication knowledge,behavior before medication and behavior during medication,the frequency and attitude of exposure to medication knowledge education activities) was analyzed,and the high risk of medication in different populations was counted,and the high-risk rate was calculated.Results A total of 316 valid questionnaires were obtained,with an effective recovery rate of 94.01%.The KAP scores of residents′medication knowledge,behavior before and during the medication indicated that residents′medication behavior was low risk.The KAP scores of residents′behavior before medication and during medication were higher in male,self-paid medical expense,non-medical institution groups (P<0.05).The high-risk rate of medication knowledge was higher among over 50 years old,educational level with technical secondary school or high school and below,and non-medical institution groups (P<0.05).The high-risk rate of behavior before medication was higher in male and nonmedical institution groups (P<0.05).The high-risk rate of behavior was higher among self-paid medical expense,educational level with technical secondary school or high school or below,no/unemployed and non-medical institution groups(P<0.05).Precisely 30.52% of the residents had never been exposed to lectures on medication knowledge or participated in medication education activities,62.11% of the residents thought that it was necessary or extremely necessary to carry out different forms of medication education.Conclusion Residents in the Huangshi area have unhealthy medication behavior and potential security concerns,and their awareness of safe medication needs to be improved.Medication safety has scientific,professional and complex characteristics.The medication safety risk is greatly affected by age and education.It is necessary to improve the medical workers′medication safety awareness in order to promote home pharmaceutical care and reduce the medication safety risk.更多还原