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沙特阿拉伯新冠疫情后儿童护理人员对扑热息痛的使用习惯及认知评估:一项横断面分析

Assessment of Paracetamol Usage Practices and Perceptions among Caregivers for Children Post-COVID-19 in Saudi Arabia: A Cross-Sectional Analysis.

作者信息

Alqahtani Saad S, Banji David, Banji Otilia J F

机构信息

Department of Clinical Pharmacy, College of Pharmacy, King Khalid University, Abha 61421, Saudi Arabia.

Department of Pharmacology & Toxicology, College of Pharmacy, Jazan University, Jazan 45142, Saudi Arabia.

出版信息

Healthcare (Basel). 2024 May 20;12(10):1047. doi: 10.3390/healthcare12101047.

Abstract

Caregivers often use paracetamol in the management of pediatric illnesses without a clear rationale. This study evaluated the perception and practices of caregivers regarding the use of paracetamol in children in Southwestern Saudi Arabia. This study involved a cross-sectional design involving 373 caregivers of children under twelve. The questionnaire elucidated the reasons, usage frequency, and safe usage practices. Data were analyzed using SPSS, applying Chi-square tests and logistic regression. Most caregivers were in the age range of 31-40 years, and with intermediate education. Paracetamol was mainly used for fever, generalized pain and, diarrhea, with fewer opting for other self-care measures. Caregivers with primary or less education were more likely to perceive paracetamol as safe (AOR = 2.98 (1.3-6.73), = 0.009) and less inclined to check warning labels (AOR: 0.11 (0.05-0.25), < 0.001) and expiry dates (AOR: 0.063 (0.027-0.14), < 0.001). The caregiver's education level significantly influenced the determination of treatment duration (χ = 21.58 (4), < 0.001), dosage (χ = 30.70 (4), < 0.001), and frequency of administration (χ = 17.77 (4), = 0.001). In conclusion, inadequate health literacy can result in a lack of attention towards crucial safety information about pediatric paracetamol use. Hence, counselling initiatives should be undertaken to ensure the safe and effective use of paracetamol in children.

摘要

照顾者在处理小儿疾病时经常使用对乙酰氨基酚,但却没有明确的理由。本研究评估了沙特阿拉伯西南部照顾者对儿童使用对乙酰氨基酚的认知和做法。本研究采用横断面设计,涉及373名12岁以下儿童的照顾者。问卷阐明了使用原因、使用频率和安全使用方法。使用SPSS进行数据分析,应用卡方检验和逻辑回归。大多数照顾者年龄在31 - 40岁之间,教育程度为中等。对乙酰氨基酚主要用于治疗发烧、全身疼痛和腹泻,选择其他自我护理措施的人较少。小学及以下教育程度的照顾者更倾向于认为对乙酰氨基酚是安全的(调整后比值比[AOR]=2.98[1.3 - 6.73],P = 0.009),不太倾向于查看警告标签(AOR:0.11[0.05 - 0.25],P < 0.001)和有效期(AOR:0.063[0.027 - 0.14],P < 0.001)。照顾者的教育水平对治疗持续时间(χ² = 21.58[4],P < 0.001)、剂量(χ² = 30.70[4],P < 0.001)和给药频率(χ² = 17.77[4],P = 0.001)的确定有显著影响。总之,健康素养不足可能导致对儿童使用对乙酰氨基酚的关键安全信息缺乏关注。因此,应开展咨询活动,以确保对乙酰氨基酚在儿童中的安全有效使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf12/11121457/ee00b69869b6/healthcare-12-01047-g001.jpg

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