乌干达姆巴拉拉科技大学学生自我药疗的模式和实践。

IF 2.1 Q3 PHARMACOLOGY & PHARMACY
Integrated Pharmacy Research and Practice Pub Date : 2020-02-13 eCollection Date: 2020-01-01 DOI:10.2147/IPRP.S237940
Faith Niwandinda, Edward John Lukyamuzi, Calvin Ainebyona, Veronica Nambi Ssebunya, Godwin Murungi, Esther C Atukunda
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引用次数: 21

摘要

目的:自我药疗是指在没有医疗专业人员建议的情况下使用药物。适当的自我药疗可以减少医疗费用和等待医生的时间。然而,处方药或非处方药在不合理使用时被认为是不安全的。据推测,大学生可以对他们的生活做出明智的决定。然而,有有限的研究记录了乌干达大学的自我药疗。本研究旨在记录姆巴拉拉科技大学(MUST)学生自我药疗的流行程度、模式和相关因素。患者和方法:对385名医科和非医科学生进行了描述性横断面研究。数据通过访谈者主导的半结构化问卷收集,并使用社会科学统计软件包(SPSS)第20版进行分析。单因素和多因素分析均以p < 0.05为统计学意义。结果:本研究显示自我药疗的患病率为63.5%。自我药疗的原因包括:病情轻微(33%)、节省时间(15%)、处方陈旧(11%)和咨询费高(9%)。不自我用药的原因包括使用错误药物的风险(19%)、知识不足(17%)、担心副作用(15%)、错误使用药物(15%)和误诊(14%)。受访者从药店(56%)、朋友/家人(17%)或私人诊所(15%)获取药物。头痛药、止痛药和抗生素是最常见的自用药。在调整后的分析中,女性、已有的过敏症和高年级的学习与自我药物治疗的几率增加有关。医学生与非医学生自我药疗的差异无统计学意义。由于缺乏获得医疗服务的机会,自我药疗的可能性增加。结论:女学生、高年级学生和已有过敏症的学生自我药疗率较高。获得医疗服务大大减少了自我药疗的机会。必须向大学生提供重要的医疗服务,以便他们获得有关药物、诊断、处方和治疗的信息。更多的研究应该评估这些学生中自我药疗率高的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patterns and Practices of Self-Medication Among Students Enrolled at Mbarara University of Science and Technology in Uganda.

Purpose: Self-medication is drug use without advice from a medical professional. Proper self-medication can reduce health expenses and physician waiting time. However, prescription or over-the-counter drugs are considered unsafe when used irrationally. Presumably, university students can make informed decisions regarding their lives. However, there are limited studies documenting self-medication in Ugandan universities. This study sought to document the prevalence, patterns and factors associated with self-medication among students enrolled at Mbarara University of Science and Technology (MUST).

Patients and methods: A descriptive cross-sectional study was done on 385 medical and non-medical students. Data were collected by interviewer-led semi-structured questionnaires and analyzed using the Statistical Package for Social Sciences (SPSS) version 20. The statistical significance was considered as p < 0.05 for both univariate and multivariate analyses.

Results: This study showed a 63.5% prevalence of self-medication. Self-medication reasons were classifying illnesses as minor (33%), time-saving (15%), having old prescriptions (11%) and high consultation fees (9%). Not self-medicating reasons included risk of using wrong drugs (19%), insufficient knowledge (17%), fear of side effects (15%), wrong drug use (15%) and misdiagnosis (14%). Respondents accessed drugs from pharmacies (56%), friends/family (17%) or private clinics (15%). Headache relievers, pain relievers and antibiotics were most commonly self-medicated. In adjusted analysis, being female, existing allergies, and being in advanced years of study were associated with increased odds of self-medication. No statistically significant difference existed between medical and non-medical students regarding self-medication. Self-medication likelihood increased with a lack of access to medical services.

Conclusion: There is a high rate of self-medication amongst female students, those in advanced years of study and those with existing allergies. Medical services access significantly reduced the chances of self-medication. Vital medical services need to be extended to the university students to receive information on medicines, diagnosis, prescription and treatment. More studies should evaluate the impact of a high rate of self-medication among these students.

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