| 摘要: |
| 目的：了解对乙酰氨基酚（APAP）使用过程中儿童监护人用药认知情况并分析影响因素，促进儿童合理用药。方法：采用电子问卷进行调研。结果：含APAP药品识别调研显示，24.49%的监护人不知道列举的6种药品中是否含有APAP，且没有监护人识别出全部含APAP的药品。APAP用法用量调研显示，37.24%的监护人没有正确选择出APAP服药最短间隔为4 h，48.47%的监护人对24 h内APAP最多服药4次的回答不正确。APAP临床使用相关说法判断显示，32.65%的监护人误认为不需要担心APAP的用药安全，42.35%的监护人误认为中成药里面不会出现APAP。监护人正确认知得分影响因素分析显示，城镇地区监护人得分高于农村地区（P<0.05），医务工作者得分高于其他职业者（P<0.01）。结论：医务人员需发挥专业优势，对监护人进行用药指导，规范用药行为，减少药物不良反应的发生 |
| 关键词: 儿童 对乙酰氨基酚 风险认知 |
| DOI：10.13407/j.cnki.jpp.1672-108X.2022.11.005 |
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| 基金项目: |
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| Investigation on Cognition of Acetaminophen in Children |
| Lu Jinghui1, Xie Xinhe2, Liu Runhong1, Zhang Yunxia3, Huang Yayun3, Zhao Ruiling3 |
| (1. Shanxi Medical University, Taiyuan 030001, China; 2. General Hospital of Taiyuan Iron and Steel Group, Taiyuan 030003, China; 3. Shanxi Children’s Hospital, Taiyuan 030013, China) |
| Abstract: |
| Objective: To probe into the medication cognition of children’s guardians during the application of acetaminophen (APAP) and analyze the influencing factors, so as to promote rational drug application in children. Methods: Electronic questionnaire was used for investigation. Results: The identification of drugs containing APAP showed that 24.49% of the guardians did not know whether there was APAP in the 6 listed drugs, and no guardian recognized all the drugs containing APAP. The results of APAP usage and dosage survey showed that 37.24% of the guardians did not correctly select the minimum interval of 4 h between APAP administration, and 48.47% of the guardians responded incorrectly to the maximum of 4 times for APAP administration in 24 h. According to the judgment of related statements on the clinical application of APAP, 32.65% of the guardians thought that there was no need to worry about the medication safety of APAP, and 42.35% of the guardians thought that APAP would not appear in Chinese patent medicine. The analysis of influencing factors of guardian score showed that the guardian score in urban area was higher than that in rural area (P<0.05), the score of medical staff was higher than that of other occupation (P<0.01). Conclusion: Medical staff should give full play to their professional advantages, guide the guardians to use drugs, standardize the drug use behaviors, and reduce the occurrence of adverse drug reactions |
| Key words: children acetaminophen risk perception |
