住院患者用药行为风险知信行调查分析

Investigation and Analysis of Knowledge, Attitude and Practice About Safe Use of Drug on Hospitalized Patients

关键词:  用药安全  知识  态度  行为  问卷调查

Key words:  medication safety  knowledge  attitude  practice  questionnaire survey

摘要:

目的 调查住院患者用药行为风险知识、态度和行为（knowledge，attitude and practice，KAP）现状及影响因素。方法 以纸质问卷/微信问卷2种方式对山东某医院749例住院患者展开调查。采用Excel建立数据库，应用SPSS 24.0软件进行统计分析。结果 KAP与知识教育活动必要性看法平均得分分别为（2.09±1.17）分、（1.89±1.81）分、（2.29±1.30）分、（3.45±1.30）分。患者知识和行为对各种形式合理用药知识教育活动必要性的看法处于较好水平，而接触过的用药知识讲座或用药教育活动的频率（态度）处于较差水平。态度与知识、行为皆为负相关（P<0.01）。结论 用药知识讲座和用药教育活动需要改进；年龄、职业、受教育程度、工作状况、月收入是受访者用药行为风险KAP的主要影响因素；应进一步加强对低学历、老年人的用药安全知识的宣教力度。

Abstract:

OBJECTIVE To investigate the current situation and influencing factors of the drug risk knowledge, attitude and practice(KAP) in hospitalized patients. METHODS With two forms of paper questionnaire and WeChat questionnaire, a survey was conducted in 749 hospitalized patients from a hospital in Shandong province. The database was established by Excel, and the results of the investigation were analyzed by SPSS 24.0 software. RESULTS The average score of KAP and knowledge education necessity were (2.09±1.17), (1.89±1.81), (2.29±1.30), (3.45±1.30). Knowledge, practice and knowledge education necessity were at a good level, while the frequency of contact with medication knowledge lectures or education activities (attitude) was at a poor level. Attitude was negatively correlated with knowledge and practice (P<0.01). CONCLUSION Drug knowledge lectures and drug education activities need to be improved. Age, occupation, education level, work status and monthly income are the main influencing factors of the drug risk KAP in the interviewees. The education of medication safety should be further strengthened for the low educated patients and old patients.