药学专业学生合理用药素养评价及其影响因素

IF 3.5 4区教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

American Journal of Pharmaceutical Education Pub Date : 2025-07-02 DOI:10.1016/j.ajpe.2025.101456

Pongpan Suriyong , Titinun Auamnoy , Poonpong Suksawang , Penkarn Kanjanarat , Thawari Khansamrong , Krittayot Supakanjanakanti , Natthaporn Wedvimonrattana , Siwakorn Nobnop

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引用次数: 0

摘要

背景：不合理药物使用仍然是一个全球卫生问题，强调迫切需要一支准备充分的卫生保健队伍。药学专业学生在提高合理用药素养、提高用药安全方面发挥着重要作用。本研究评估泰国药学学生的RDUL，并探讨影响因素。方法：采用整群抽样和泰国版RDUL测量工具，于2024年1 - 3月对泰国布拉法大学药学博士研究生进行横断面研究。数据分析采用描述性统计、t检验、卡方检验、方差分析、多元回归和结构方程模型（SEM）。结果：273名1 ~ 5年级药学专业学生中，女生占74.4%，平均RDUL评分为44.6分（占总评分的85.8%），高于泰国一般人群。然而，19.0%的患者RDUL较低。学年、用药经历、性别显著影响RDUL (F = 7.080, t = 2.148, 3.529；P < 0.05)。杜克大学的HSD分析显示，高年级学生的RDUL分数更高。多元回归结果显示，RDU学习环境与RDU显著正相关(β = 0.110；95% ci, 0.019 -0.200；P = 0.018)。SEM证实了其直接影响（λ = 0.30），六个RDUL维度之间存在动态相互作用。结论：药学专业学生RDUL高于一般人群。学年、用药经历和性别是影响因素，而RDU学习环境对学生的RDU有直接影响。

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Assessment of Rational Drug Use Literacy and Its Influencing Factors Among Pharmacy Students

Objective

Irrational drug use remains a global health concern, underscoring the urgent need for a well-prepared health care workforce. Pharmacy students play a vital role in promoting rational drug use literacy (RDUL) to enhance medication safety. This study assessed RDUL among Thai pharmacy students and examined influencing factors.

Methods

A cross-sectional study was conducted among Doctorate of Pharmacy Students at Burapha University between January and March 2024, using cluster sampling and the Thai version of RDUL measurement tool for Thai people. Data were analyzed using descriptive statistics, t tests, χ² tests, analysis of variance, multiple regression, and structural equation modeling.

Results

Among 273 pharmacy students from year 1 to 5 (74.4% female), the mean RDUL score was 44.6 (85.8% of the total), exceeding the general Thai population. However, 19.0% had low RDUL. Academic year, medication use experience, and gender significantly influenced RDUL. Tukey’s Honest Significant Difference analysis showed higher RDUL scores in upper-year students. Multiple regression revealed a significant positive association between the rational drug use learning environment and RDUL. Structural equation modeling confirmed its direct impact (λ = 0.30), with dynamic interactions among 6 RDUL dimensions.

Conclusion

Pharmacy students demonstrated higher RDUL than the general population. Academic year, medication experience, and gender were the influencing factors, while the rational drug use learning environment was found to have a direct impact on student’s RDUL.

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来源期刊

American Journal of Pharmaceutical Education 医学-学科教育

CiteScore

4.30

自引率

15.20%

发文量

114

期刊介绍： The Journal accepts unsolicited manuscripts that have not been published and are not under consideration for publication elsewhere. The Journal only considers material related to pharmaceutical education for publication. Authors must prepare manuscripts to conform to the Journal style (Author Instructions). All manuscripts are subject to peer review and approval by the editor prior to acceptance for publication. Reviewers are assigned by the editor with the advice of the editorial board as needed. Manuscripts are submitted and processed online (Submit a Manuscript) using Editorial Manager, an online manuscript tracking system that facilitates communication between the editorial office, editor, associate editors, reviewers, and authors. After a manuscript is accepted, it is scheduled for publication in an upcoming issue of the Journal. All manuscripts are formatted and copyedited, and returned to the author for review and approval of the changes. Approximately 2 weeks prior to publication, the author receives an electronic proof of the article for final review and approval. Authors are not assessed page charges for publication.