CAJ | 학술논문

目的：了解陕西城乡居民合理用药认知现状，为有针对性地制定用药知识宣传和健康教育策略提供依据。方法采用分层整群抽样法，随机抽取陕西省碑林区、秦都区、富平县城乡居民1203人进行问卷调查。结果城市居民对药品、抗生素及处方药的概念知晓率均高于农村居民（P ＜0．01）；城乡居民对“OTC”的知晓率普遍较低，为23％；超过75％的城、乡居民能坚持按照医生开具的处方购买药品，但家中药品按要求保存率均较低，仅有22％；只有28．71％的城市居民和24．81％的农村居民能定期查看药品是否过期；分别有35．71％的城市居民和25．56％的农村居民感冒后会自行服用抗生素；64．91％的农村居民发烧后会立即输液退烧，显著高于城市居民；46．94％的城市居民和58．40％的农村居民会根据宣传广告购买药品；38．33％的居民为让病好得快，会自行加大药量；城乡居民获得用药知识最主要的途径是医务人员。结论城乡居民合理用药认知总体偏低，应充分利用现代宣传媒介、加强医务人员合理用药相关教育和培训，普及基本药物使用知识，促进居民合理用药素养的形成。
목적：료해협서성향거민합리용약인지현상，위유침대성지제정용약지식선전화건강교육책략제공의거。방법채용분층정군추양법，수궤추취합서성비림구、진도구、부평현성향거민1203인진행문권조사。결과성시거민대약품、항생소급처방약적개념지효솔균고우농촌거민（P ＜0．01）；성향거민대“OTC”적지효솔보편교저，위23％；초과75％적성、향거민능견지안조의생개구적처방구매약품，단가중약품안요구보존솔균교저，부유22％；지유28．71％적성시거민화24．81％적농촌거민능정기사간약품시부과기；분별유35．71％적성시거민화25．56％적농촌거민감모후회자행복용항생소；64．91％적농촌거민발소후회립즉수액퇴소，현저고우성시거민；46．94％적성시거민화58．40％적농촌거민회근거선전엄고구매약품；38．33％적거민위양병호득쾌，회자행가대약량；성향거민획득용약지식최주요적도경시의무인원。결론성향거민합리용약인지총체편저，응충분이용현대선전매개、가강의무인원합리용약상관교육화배훈，보급기본약물사용지식，촉진거민합리용약소양적형성。
Objective To investigate irrational drug use phenomenon at present,and set drug use knowledge propaganda and health educational strategy through grasping cognitive status of rational drug use.Methods With stratified cluster sampling method,1203 people living in Beilin District,Qindu District and Fuping County of Shaanxi Province were selected for questionnaire investigation.Results The awareness rate of the concept of drugs,antibiotics and prescription drugs in urban residents were higher than those of rural residents;the awareness rate of “OTC”in urban and rural residents were low with 23%;more than 75% of urban residents could adhere to buy medicine according to doctor’s prescription, but only 22% of families kept buying drugs as required.Only 35.71% of urban residents and 25.56% of rural residents checked expire date of drugs regularly.Only 28.71% of urban residents and 24.81% of rural residents would take antibiotics by themselves after got cold.64.91% of rural residents chose intravenous injection immediately after they had a fe-ver.46.94% of urban residents and 58.40% of rural residents would buy drugs according to the advertisement.38.33% of the residents would increase the amount of drugs by themselves in order to recover quickly from disease.Medical staffs were the most important ways to obtain the knowledge of drug for urban and rural residents.Conclusion New media should be used and the rational medication knowledge propaganda and training should be strengthened to popularize basic knowledge on drug use and promote the formation of residents’rational drug use literacy.