孕婦用藥知識、態度及行為之調查

研究目的:調查孕婦於懷孕前一年，及此次懷孕期間用藥的知識、態度及行為。研究方法:本研究為橫斷式調查研究設計，於99年2月到99年5月，以南部某區域教學醫院婦產科門診，38週以內的孕婦共322人為研究對象，利用結構式問卷收集孕婦用藥知識、態度及行為等資料，並以SPSS 12.0中文版軟體進行統計資料分析。研究結果顯示：孕婦使用中草藥、西藥及保健食品的盛行率各為27.6％、77.3％及71.4％，長期且規則的使用中草藥及西藥的盛行率各為7.5％及8.1％。孕婦用藥知識、態度、行為於懷孕前後皆有統計上的顯著差異（P＜0.01）。懷孕前一年及此次懷孕期間孕婦用藥知識得分平均各為10.62分、10.80分，孕婦的用藥態度及行為比懷孕前謹慎，但藥物相關訊息主要是來自親朋好友或報章雜誌（49.4％），且中草藥及保健食品藥物來源92％為自行購買，非醫師處方。結論:本研究結果發現，雖然孕婦的用藥態度及行為比懷孕前謹慎，但正確的用藥知識仍不足，且獲得藥物知識的來源堪憂。因此未來應加強孕婦用藥安全的衛教，及建立孕婦用藥安全的監測機制，以避免不當的藥物使用對孕婦及胎兒安全造成威脅。關鍵詞：孕婦、藥物、知識、態度、行為

關鍵字

孕婦；藥物；知識；態度；行為

並列摘要

Purpose : To investigate the knowledge, attitude, and practice of medicine usage by women before and during pregnancy. Methods: This research is a cross-sectional survey. We recruited 322 pregnant women within 38 weeks of gestation age from maternity clinic in a regional hospital in the southern of Tainan during February to May 2010.We used structural questionnaires and analyzed the deta with SPSS 12.0. Results: The prevalence of Chinese herbal medicines, western medicines, and nutritional supplements used by pregnant woman were 27.6%, 77.3% , and 71.4%, respectively. Furthermore, 7.5% of pregnant women took Chinese herbal medicines and 8.1% of them used medicines regularly. The knowledge, attitude, and practice of medicine usage by women before pregnancy were significantly different from those in pregnant periods. Overall, the mean score of knowledge about mecicine usage were 10.62 and 10.80 before and during pregnancy, respectively.The attitude and practice about medicine usage of women will be conservative after pregnancy . However, 49.4% of pregnant women received medicial information not from professionals and 92％of those bought non-prescription Chinese herbal medicines and nutritional supplements. Conclusion: Our study results showed that the attitude and practice of pregnant women using medicine were more prudent than before pregnancy. Nevertheless, the knowledge about medicine usage was insufficient and partial behavior was inadequate. Thus, the education and surveillance monitoring system of medicine usage for pregnant women is urgent to prevent the adverse effects of medicine on pregnant women and fetuses.

並列關鍵字

Pregnant woman ； Medicine ； Knowledge ； Attitude ； Practice

參考文獻

Chuang, C.H., Lai, J.N. , Wang, J.D., Chang, P.J., & Chen, P.C. (2005). Prevalence and related factors of Chinese herbal medicine use in pregnant women of Taipei, 1985-1987. Public Health, 24(4), 335-337.

錢慶文、李宜致、李佳珂、林陽助、安寶儀（2006）．從理性行動理論研究住院病人「病患安全」的態度對其認知之影響．澄清醫護管理雜誌，2（4），18－25。

陳冠如、蕭寧馨、林璧鳳 (2006)．台北地區醫院產檢孕婦的葉酸營養狀況．臺灣營養學會雜誌，31(1)，8-16。

陳緋娜、李珮端、謝慶良、林正介、江秀梅、林香汶、朱和翔、蔡文正、侯鈺琪、洪寶蓮（2008）．台灣中部民?蛓N醫及用藥概況調查－以某醫學中心門診病患為例．中西整合醫學雜誌，10(2)，1-14。

行政院衛生署國民健康局（2005，5月）．94年度衛生教育宣導彙集-2用藥教育．2010年6月16日取自http://www.bhp.doh.gov.tw/BHPnet/Portal/Them.aspx?No=200712250051

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孕婦用藥知識、態度及行為之調查

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