摘要
目的分析农村居民基本药物用药行为过程与障碍因素,提出促进农村居民合理使用基本药物的干预建议。方法采用多阶段分层随机抽样方法,在山东省5个市抽取1 518户居民进行面访问卷调查,其中≥15岁农村居民为2 867人,以计划行为理论为框架,对数据进行描述统计分析。结果农村居民基本药物用药行为行为态度方面,95.9%对政策总体满意,但基本药物的价格(58.8%)、疗效(46.8%)、质量(58.9%)、品种(15.4%)与购药方便性(48.4%)不能满足部分农村居民的政策期望回报;主观规范方面,83.1%接受医生推荐的基本药物,92.3%能严格遵医嘱用药;知觉行为控制方面,93.1%用药知识缺乏,部分人群偏爱新药(12.4%)、贵药(15.0%)、进口药(24.8%)、联合用药(37.7%)与静脉输液(10.9%),其中46.3%用抗生素治疗感冒,39.3%常备抗生素做自我药疗。结论基本药物政策回报、供方处方行为与居民用药知识及用药习惯均对农村居民合理使用基本药物产生重要影响。
Objective To study essential drug use behavior and its impact factors in rural residents and to provide suggestions for intervention on rational drug use in the residens. Methods Using multi-stage stratified random sampling,2 867 rural residents aged ≥15 years in 1 518 households were selected from five cities of Shandong province and investigated with a questionnaire survey. The data collected were analyzed statistically based on core framew ork of the theory of planned behavior（TPB）. Results The most of the residents（95. 9%） were satisfied to the essential drug policy,but there were parts of the residents reporting unsatisfied expectation to the quality（58. 9%）,price（58. 8%）,convenience of purchasement（48. 4%）,curative effect（46. 8%）,and types（15. 4%） of the essential drugs. The proportion of the residents accepting essential drugs recommended by the doctors was 84. 8% and that of taking the essential drugs exactly as the doctors＇ prescriptions was 92. 3%. But most of the residents（94. 3%） were lack of know ledge about medication and some of the residents reported the preference for new drug（12. 4%）,expensive drug（15. 0%）,imported drugs（24. 8%）,multi-drug medication（37. 7%）,and intravenous infusion（10. 9%）. Among the residents,46. 3% took antibiotics when having a common cold and 39. 3% kept antibiotics at home for self-medication. Conclusion The key factors affecting rural resident＇s rational use of essential drugs include perceived benefit of essential drugs policy,prescription behavior of the doctors,and medication know ledge and habit of the residents.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2015年第4期428-430,共3页
Chinese Journal of Public Health
基金
国家自然科学基金(71173158)
山东省高等学校人文社科研究计划项目(J12WF18)
关键词
计划行为理论
农村居民
基本药物
用药行为
干预
theory of planned behavior
rural residents
essential medicine
drug use behavior
intervention
