소아환자 보호자의 소아 대상 약물사용 관련 지식, 태도, 행동 분석 연구
Analysis of Knowledge, Attitudes, and Practices for Safe Medication Use in Caregivers for Pediatric Patients
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Background: The safe use of medication in children is important, as it can have significant implications for their health and wellbeing. Parents or caregivers play a crucial role in the medication administration process. Therefore, this study would evaluate the needs and current status (knowledge, attitude, and practice) of caregivers for children on the safe use of medication. Methods: We conducted questionnaires on 150 caregivers with children under nine years old and asked about their knowledge, attitude, and practice regarding the safe use of medication and their needs. Each question was conducted on a 5-point scale. Results: Of the 150 respondents, 128 were women, 75 were in their 30s, and 63 were in their 40s. Among them, 29 parents answered that they had been educated about the safe use of medicines, and 26 (84%) were satisfied with the education. Knowledge, attitude, and practice assessments on drug safety use (mean±SD) were found to be 3.83±0.44, 3.67±0.38, and 3.53±0.45, respectively. There were significant differences between the educated group and the uneducated group in knowledge and practice, not attitude. Conclusion: To provide appropriate education to caregivers of pediatric patients is necessary to ensure the safe and effective use of medication in children. Moreover, appropriate education can improve caregivers' understanding of medication use and lead to proper administration. Therefore, it is imperative to develop educational materials and strategies for medications that incorporate both specialized knowledge and practical applications for pediatric patients.
Abstract
Background: The safe use of medication in children is important, as it can have significant implications for their health and wellbeing. Parents or caregivers play a crucial role in the medication administration process. Therefore, this study would evaluate the needs and current status (knowledge, attitude, and practice) of caregivers for children on the safe use of medication. Methods: We conducted questionnaires on 150 caregivers with children under nine years old and asked about their knowledge, attitude, and practice regarding the safe use of medication and their needs. Each question was conducted on a 5-point scale. Results: Of the 150 respondents, 128 were women, 75 were in their 30s, and 63 were in their 40s. Among them, 29 parents answered that they had been educated about the safe use of medicines, and 26 (84%) were satisfied with the education. Knowledge, attitude, and practice assessments on drug safety use (mean±SD) were found to be 3.83±0.44, 3.67±0.38, and 3.53±0.45, respectively. There were significant differences between the educated group and the uneducated group in knowledge and practice, not attitude. Conclusion: To provide appropriate education to caregivers of pediatric patients is necessary to ensure the safe and effective use of medication in children. Moreover, appropriate education can improve caregivers' understanding of medication use and lead to proper administration. Therefore, it is imperative to develop educational materials and strategies for medications that incorporate both specialized knowledge and practical applications for pediatric patients.
참고문헌 (30)
- Kaye JL, "Review of paediatric gastrointestinal physiology data relevant to oral drug delivery", Int J Clin Pharm, 33(1), pp.20~24 (2011)
- Bowles A, "Specific aspects of gastro-intestinal transit in children for drug delivery design", Int J Pharm, 395(1-2), pp.37~43 (2010)
- Mooij MG, "Ontogeny of oral drug absorption processes in children", Expert Opin Drug Metab Toxicol, 8(10), pp.1293~1303 (2012)
- Autret-Leca E, "Pharmacovigilance in children", Arch Pediatr, 19(8), pp.848~855 (2012)
- Leeder JS, "Pharmacogenetics and pharmacogenomics", Pediatr Clin North Am, 48(3), pp.765~781 (2001)
- Kearns GL, "Developmental pharmacology--drug disposition, action, and therapy in infants and children", N Engl J Med, 349(12), pp.1157~1167 (2003)
- Darnis D, "Adverse Drug Reactions in Pediatric Emergency Medicine", Ann Pharmacother, 49(12), pp.1298~1304 (2015)
- 우재혁, "Poisoning in Korean Children and Adolescents", Pediatric Gastroenterology, Hepatology & Nutrition, 16(4), pp.233~239 (2013), 대한소아소화기영양학회
- Du W, "Incidence and costs of adverse drug reactions in a tertiary care pediatric intensive care unit", J Clin Pharmacol, 53(5), pp.567~573 (2013)
- Sasaki E, "Caregivers’ understanding of pediatric medication in central Malawi", J Trop Pediatr, 61(1), pp.14~19 (2015)
- Berthe-Aucejo A, "Evaluation of frequency of paediatric oral liquid medication dosing errors by caregivers : amoxicillin and josamycin", Arch Dis Child, 101(4), pp.359~364 (2016)
- Yin HS, "Use of a pictographic diagram to decrease parent dosing errors with infant acetaminophen : a health literacy perspective", Acad Pediatr, 11(1), pp.50~57 (2011)
- Rak EC, "Caregiver word reading literacy and health outcomes among children treated in a pediatric nephrology practice", Clin Kidney J, 9(3), pp.510~515 (2016)
- Hietbrink E, "Australian caregivers’management of childhood ailments", Int J Pharm Pract, 22(3), pp.205~215 (2014)
- Chan HK, "Using pictograms to assist caregivers in liquid medication administration : a systematic review", J Clin Pharm Ther, 40(3), pp.266~272 (2015)
- 이인구, "초등학생 자녀의 비처방약물 중 진통제 사용에 관련된 부모의 행동 -서울지역 일부 초등학교를 대상으로-", Korean Journal of Family Medicine, 23(2), pp.179~188 (2002), 대한가정의학회
- 박기수, "소아 환자의 치료 순응도 및 이에 영향을 미치는 요인", Clinical and Experimental Pediatrics, 51(6), pp.584~596 (2008), 대한소아청소년과학회
- 이사라, "감기에 대한 인식도 및 의료이용 행태", Korean Journal of Family Medicine, 30(6), pp.440~448 (2009), 대한가정의학회
- Vernacchio L, "Medication use among children <12 years of age in the United States : results from the Slone Survey", Pediatrics, 124(2), pp.446~454 (2009)
- Togoobaatar G, "Survey of non-prescribed use of antibiotics for children in an urban community in Mongolia", Bull World Health Organ, 88(12), pp.930~936 (2010)
- Ylinen S, "The use of prescription medicines and self-medication among children--a population-based study in Finland", Pharmacoepidemiol Drug Saf, 19(10), pp.1000~1008 (2010)
- Ratner, B, "The correlation coefficient : Its values range between +1", -1, or do they?, 2009, pp.17(2), 139~142
- "Use Caution When Giving Cough and Cold Products to Kids"[URL]
- Sammons HM, "Learning Lessons from Adverse Drug Reactions in Children", Children(Basel), 3(1), pp.1~ (2016)
- Jonville AP, "Characteristics of medication errors in pediatrics", DICP, 25(10), pp.1113~1118 (1991)
- Philips K, "Caregiver Medication Management and Understanding After Pediatric Hospital Discharge", Hosp Pediatr, 9(11), pp.844~850 (2019)
- Glick AF, "Parental Management of Discharge Instructions : A Systematic Review", Pediatrics, 140(2), pp.e20164165~ (2017)
- Mitchell SJ, "Racial Disparities in Asthma Morbidity Among Pediatric Patients Seeking Asthma Specialist Care", Acad Pediatr, 16(1), pp.64~67 (2016)
- Auslander WF, "Disparity in glycemic control and adherence between African-American and Caucasian youths with diabetes. Family and community contexts", Diabetes Care, 20(10), pp.1569~1575 (1997)
- Parikh K, "Racial and Ethnic Differences in Pediatric Readmissions for Common Chronic Conditions", J Pediatr, 186, pp.158~64.e1 (2017)