摘要
目的调查分析哮喘患儿用药规范性及用药指导需求。方法选择2019年10月1日至2021年10月31日于四川省妇幼保健院儿科就诊的支气管哮喘患儿1895例,借助微信建立患儿微信群进行调查,采用随机、自愿、匿名的方式对所有患儿监护人发放自制的《支气管哮喘健康调查问卷》。应用Python软件对患儿微信群中关于药物规范性指导中心建设建议的聊天记录进行数据爬取、文本分词及情感分析,绘制词云。结果共发放问卷1895份,回收有效问卷为1769份(回收率93.35%)。具体调查结果为:用药依从性中可规范性使用每次用药剂量占比最高(86.83%),了解用药总疗程最低(32.73%),了解吸入装置应用及药物的应用占比均不高(分别为39.97%~68.68%和9.55%~55.79%);93.98%的患儿哮喘发作每年次数大于1次,只有43.98%可按时复诊。规范性用药选择“非常规范”和“规范”分别仅占8.14%、18.26%。监护人中,88.58%认为哮喘的疾病知识需要指导帮助,77.11%需要哮喘用药指导,47.37%喜欢医院定期科普用药指导的学习方式,71.06%在用药困惑时喜欢自行网络搜索。关于儿童哮喘健康教育服务建设建议的群聊中,热词为用药、哮喘、医生、时间、频率、吸入、药品名称、不良反应等。情感分析结果显示:总的积极情绪占66.67%,其中好占54.55%、乐占10.91%、惊占1.21%;总的消极情绪占33.33%,其中厌恶占7.27%、悲哀占19.39%、恐惧占3.03%、怒占3.64%。结论目前大部分哮喘患儿均不能规范性用药,有用药指导的需求,医院应结合患儿监护人的建议,完善儿童哮喘健康教育服务建设,提高哮喘患儿用药规范性。
Objective WeChat was used to investigate and analyze the medication standardization and medication guidance needs of children with asthma.Methods A total of 1895 children with bronchial asthma who were treated in the department of Pediatrics of Sichuan Maternal and Child Health Hospital from October 1,2019 to October 31,2021 were selected.A“Children WeChat group”was established with the help of WeChat for investigation,and all the guardians of the children were given a self-made“Bronchial Asthma Health Questionnaire”in a random,voluntary and anonymous manner.Python software was used to carry out data grab crawling,text word segmentation and emotion analysis on the chat records concerning the suggestions for the construction of drug standardization guidance center in“Children’s WeChat Group”,and draw the word cloud.Results A total of 1895 questionnaires were distributed in this study,and 1769 valid questionnaires were recovered(the recovery rate was 93.35%).The specific survey results were as follows:In terms of medication compliance,the proportion of standardized use of each medication dose is the highest(86.83%),the proportion of knowing the total medication course was the lowest(32.73%),and the proportion of understanding the application of inhalation devices and the application of drugs is not high(respectively 39.97%-68.68%and 9.55%-55.79%);93.98%of the children had an asthma attack more than once a year,Only 43.98%of the children could return to the doctor on time.Among the samples’self-selection of normative drug use,the proportions of“very standardized”and“quite standardized”were 8.14%and 18.26%respectively.Among the guardians,88.58%believed that the knowledge of asthma was in need of guidance and help,77.11%needed asthma medication,47.37%preferred the way of regular popularization medication instruction in hospital;71.06%liked to search online by themselves when they felt confused about medication.In the group chat about the suggestions for the construction of health education serv
作者
古珍
王晓丽
顾倩兰
徐文芳
范嘉佳
樊军
GU Zhen;WANG Xiaoli;GU Qianlan;XU Wenfang;FAN Jiajia;FAN Jun(Department of Pharmacy,Sichuan Maternal and Child Health Hospital,Chengdu,Sichuan,610045;Department of Pediatrics,Sichuan Maternal and Child Health Hospital,Chengdu,Sichuan,610045)
出处
《广东药科大学学报》
CAS
2022年第4期28-33,共6页
Journal of Guangdong Pharmaceutical University
关键词
支气管哮喘
微信群
用药规范性
用药指导
bronchial asthma
WeChat group
standardization of medication
medication guidance
