學校結盟藥師推動正確用藥教育提升用藥知識、效能與行為之成效評價

Evaluating the effects of school-pharmacist partnerships to improve medication knowledge, efficacy and behavior

李俊賢(Chun-Hsien Lee) ； 張鳳琴(Fong-Ching Chang) ； 紀雪雲(Hsueh-Yun Chi) ； 黃莉蓉(Li-Jung Huang)

《台灣公共衛生雜誌》 37卷2期 (2018/04) Pp. 196-205

https://doi.org/10.6288/TJPH.201804_37(2).106135

摘要

目標：本研究目的為評價台灣推廣學校結盟藥師執行正確用藥教育對學生正確用藥知識、效能及行為之影響。方法：以102年及105年度全台灣地區國小高年級、國中、高中職學生為母群體，採等比機率抽樣。研究工具為自填結構式網路調查問卷，102年受訪學生共計8,635人，105年受訪學生共計6,226人。以廣義估計方程式（GEE）分析台灣推廣學校結盟藥師執行正確用藥教育對學生正確用藥知識、效能及行為的影響。結果：學生表示學校有辦理過正確用藥教育相關活動的比率從102年73%增加至105年的79%。多變項結果顯示，在控制學制與學生的性別後，102年至105年推廣學校結盟藥師執行正確用藥教育後，對學生的正確用藥知識、正確用藥效能及行為有顯著正面影響。此外，學校有辦理正確用藥教學活動學生的正確用藥知識、效能及行為也顯著較高。結論：台灣推廣學校結盟藥師推動正確用藥教育可以顯著提升學生正確用藥知識、效能及行為，建議持續推動學校與藥師結盟推動正確用藥教育以增進學生正確用藥素養。

關鍵字

學校 ； 藥師 ； 結盟 ； 正確用藥教育 ； 評價

並列摘要

Objectives: The aim of this study was to evaluate the effects of promoting and implementing a school-pharmacist partnership correct medication education program to improve students' medication knowledge, efficacy, and behavior in Taiwan. Methods: A probability proportionate to size sampling method was used to select the study population. A total of 8,635 students in 2013 and 6,226 students in 2016 completed the self-administered online questionnaire. Generalized Estimating Equation (GEE) analysis was used to examine the effects of a school-pharmacist partnership correct medication education program to improve students' medication knowledge, efficacy and behavior. Results: The proportion of students who reported that their schools had implemented correct medication educational intervention increased from 73% in 2013 to 79% in 2016. The GEE analysis results showed that, after controlling for school level and gender, the promotion and implementation of a school-pharmacist partnership correct medication education program from 2013 to 2016 had a positive impact on improving students' medication knowledge, efficacy, and behavior. In addition, schools implementing a correct medication educational intervention also showed positive effects in increased student medication knowledge, self-efficacy, and behavior. Conclusions: The promotion and implementation of a school-pharmacist partnership correct medication education program had positive effects on enhancing students' knowledge, efficacy and behavior. We recommend continued implementation of school-pharmacist partnerships to enhance students' medication literacy.

並列關鍵字

school ； pharmacist ； partnership ； correct medication education ； evaluation

參考文獻

衛生福利部(2016)。中華民國105年版衛生福利年報。台北=Taipei:衛生福利部=Ministry of Health and Welfare, R.O.C. (Taiwan)。

Organization for Economic Co-operation and Development=OECD(2017).Health at a Glance 2017.Paris:OECD Publishing.

衛生福利部：104年度全民健康保險醫療統計年報。台北：衛生福利部，2016。Ministry of Health and Welfare, R.O.C. (Taiwan). Statistics of Medical Care, National Health Insurance 2015. Taipei: Ministry of Health and Welfare, R.O.C. (Taiwan), 2016. [In Chinese]

白淑英、陳育傑、黃莉蓉、鄧新棠(2008)。基隆市藥師參與社區民眾用藥行為之調查與分析。藥學雜誌。24，30-8。

Chen, C,Chen, YM,Hwang, KL(2005).Behavior, attitudes and knowledge about antibiotic usage among residents of Changhua, Taiwan.J Microbiol Immunol Infect.38,53-9.