大流行病时代的自我药疗:基于健康信念模式理论的考虑因素

Sang Putu Bagus Vidya Dharma Sudhewa, I. Widowati, Putu Prayascitadevi Empuadji, Nita Suryaningsih, Ida Ayu Manik Partha Sutema
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摘要

在 Covid-19 爆发期间,导致人们寻求治疗的因素之一是缺乏获得医疗保健服务的途径。基于健康信念模式理论,本研究旨在调查社区自我医疗及其决定因素。本研究在印度尼西亚巴厘省开展了一项观察性研究。研究对象包括在药房购买药物的成年人,无需处方。2022 年 1 月至 2 月期间,在吉安亚尔区的一家药店发放了经过验证的调查问卷。变量包括健康信念、人口统计学、社会经济地位和 COVID-19 历史记录等 4(4)个因素。分析是描述性的,在招募的 420 名受访者中,有 400 名受访者(回复率为 95.2%)。影响因素被确定为健康信心、降低成本和预防健康状况。69.3% 的 Covid-19 嫌疑人(n=277)有发烧、咳嗽、流鼻涕和头痛症状。此外,还发现了社会经济地位指标。在感知的易感性方面,54.0%(n=216)的受访者表示症状较轻;260(65.0%)的受访者表示距离药房较远是感知到的好处;药物剂量也是感知到的障碍(n=229;57.25%),365(91.3%)的受访者表示感知到了防止健康状况恶化的严重性。社区的自我药疗仍是一个令人担忧的问题。要改变人们的行为,就必须依靠健康信念,并针对社会经济水平较低的人群采取相应的策略。我们认为,药剂师应向顾客提供药物信息,使自我药疗有效。
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Self-Medication in the Pandemic Era: Factors to Consider Based on the Theory of Health Belief Model
One of the factors leading people to seek treatment during the Covid-19 outbreak is a lack of access to healthcare services. Based on the Health Belief Model Theory, the purpose of this study is to investigate community self-medication and its determinants. An observational study was conducted in Bali Province, Indonesia. The study included adults who bought the medicine at a pharmacy without a prescription. Validated questionnaires were distributed in a drugstore in Gianyar Regency from January to February 2022. The variables were 4 (four) factors of health belief, demographics, socioeconomic position, and COVID-19 history. The analysis was descriptive, with 400 respondents out of 420 recruited (95.2% response rate). The affecting factors were identified as health confidence, cost reduction, and health condition prevention. There were 69.3% (n=277) of Covid-19 suspects with symptoms of fever, cough, runny nose, and headache. Indicators of socioeconomic status were also discovered. In terms of perceived susceptibilities, 54.0% (n=216) respondents reported mild symptoms; 260 (65.0%) respondents reported distance to the pharmacy as a perceived benefit; drug dose was also reported as a perceived barrier (n=229;57.25%), and 365 (91.3%) respondents reported perceived severities to prevent worsening of health conditions. The community's self-medication is still a concern. Behavior modification necessitates tactics that rely on health beliefs and target persons of lower socioeconomic levels. We believe that pharmacists should provide drug information to customers for self-medication to be effective.
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