正確用藥知識調查研究－－以雲嘉地區為例

A Survey Study of the Medication Knowledge in Yunlin and Chiayi Area

在這科技日益進步的世代中，大部分台灣偏鄉民眾經常接收來自網際網路、電視及電台廣告有關於用藥知識的訊息。這些訊息往往缺乏正確性，並容易導致用藥錯誤。因此，本研究的主要目的是探討在雲林與嘉義地區民眾的用藥知識，並在用藥知識不足上提供改進策略。本研究為描述性研究，以雲嘉地區民眾作為調查母群體，到各級教育機構採面對面問卷隨機取樣的方式完成，共508人為研究樣本。問卷內容包含基本資料與用藥知識調查兩大部份。研究對象男女比例約4：6，30歲以下民眾占70%，教育程度以高中職以上居多。在用藥時間調查結果上，民眾對於自己應該服藥時間點的概念上普遍良好，但越年長的民眾對忘記服藥時的處理上越容易錯誤，將近八成的50歲以上民眾無正確處理。然而，一般酸痛貼布使用時間上也有58%的民眾會超過建議使用時間。在藥品使用調查結果中，發現民眾普遍知道吃藥以白開水伴服，但以一顆500 mg止痛藥的使用劑量上，將近四分之三的民眾沒有正確觀念。藥品儲存及回收處理部分，將過期或未使用的藥品拿去藥局回收只佔34%，而50歲以上則傾向直接丟棄，這方面可能是用藥宣導效果不佳或其他原因而造成此觀念。結果顯示大多數雲嘉地區民眾都有正確用藥知識，但他們的用藥行為與觀念卻很容易被生活習慣及態度等個人因素所影響。因此，強化個人健康教育也許是一個改善其錯誤用藥行為與觀念的好方法。

In this generation of advanced technology, most Taiwanese people, particularly those in rural areas, often receive the information about medication knowledge through Internet, television and radio advertisement. The information is often lack of correctness, and easily leads to medication errors. Therefore, the major purpose of this study is to investigate the understanding of medication knowledge in Yunlin and Chiayi area, and provide improvement strategies for inadequate knowledge of medication use. This cross-sectional descriptive study was conducted in different educational institutions in Yunlin and Chiayi area. A total of 508 people were participated in this study using face-to-face interview questionnaire. The questionnaire includes two main parts: basic demographic information and medication knowledge. In the basic demographic information analysis, the ratio of males to females in the total samples was about 4:6, 70% of participants were age under 30 years. The majority of them possessed an education level above high school. In the medication knowledge, most participants had correct concept for taking medicine on time. However, nearly 80% of participants over 50 years of age were not correctly managed when they forgot to take medicine. About 58% of participants had incorrect concept for using topical pain patch on time. The results also suggested that participants understood the concept of taking medicine with water, however, 3 quarters of participants did not have correct knowledge about medicating dosage when using a 500 mg pain-killer as an example question. Only 34% of participants recycled their overdue of unused medication back to pharmacy stores. Subjects aged over 50 years old tended to dispose the unused medicines, which may be caused by insufficient medication education. Results of this study indicated that most people had correct medication knowledge in Yunlin and Chiayi area, but their medication behaviors and concepts were easily affected by personal factors such as life habits and attitudes. Therefore, strengthen personal health education may be effectiveness to improve improper medication behavior and concept in Yunlin and Chiayi regions.