印度中部两所医学机构医科本科生致畸药物认知的观察性研究

D. Kushwah, Beenu Kushwah
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摘要

背景:只有提高主治医生的合理用药意识,才能在很大程度上避免药物致畸。药物对发育中的胎儿的有害影响与接触时的胚胎发育阶段直接相关。在正确的时间获得关于特定药物致畸性的正确知识是非常重要的,这需要在像印度这样的国家的普通医生中有更多的认识,因为大多数怀孕女性只在外围地区由这些医生管理。本研究是一项观察性研究,旨在评估本科医学生关于致畸性的基本知识,以便对现有的这一特定主题的培训模式进行必要的改变。方法:本研究采用问卷调查的横断面观察法,对医本科生致畸不同方面的基础知识进行评估。其中包括印度中部两所医学院的250名学生。结果:250名学生中有146名学生按时报到。最多的学生(71%)知道某些有害药物的致畸性。虽然90%的学生知道妊娠早期是最易受影响的时期,但只有21%的学生能够说明在怀孕前就进行药物使用咨询的重要性。结论:根据目前的研究结果,显然应该在早期的医学培训中更加重视提高对致畸药物的认识,以使现有的治疗医生的做法发生必要的改变。
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An observational study on Awareness of Teratogenic drugs among Undergraduate Medical Students from two medical institutes of Central India
Background: Teratogenicity caused by drugs can be avoided to major extent just by creating more awareness about rational use of drugs among treating doctors. Deleterious effects of a drug upon developing foetus are directly related with the stage of embryological development at the time of exposure. Attainment of right knowledge at right time about teratogenicity of a particular drug is very crucial which requires more awareness among general doctors in a country like India where most of the pregnant females are manged by these doctors only in peripheral regions. Present study was an observational study to assess basic knowledge of undergraduate medical students regarding teratogenicity in order to make necessary changes in existing mode of training of this particular topic.Methods: Present study was a questionnaire based cross sectional observational study to assess basic knowledge of undergraduate medical students regarding different aspects of teratogenicity. It included 250 students of two medical colleges of central India.Results: Out of 250 students 146 students reported on time. Maximum students (71%) were aware about the teratogenicity property of certain harmful drugs. Although 90% of students knew that early first trimester is the most susceptible time, only 21% could state the importance of doing counselling regarding use of drugs even before pregnancy.Conclusions: Based on the findings of present study it is obvious that more emphasis should be put on improving knowledge about teratogenic drugs during early years of medical training in order to bring about necessary changes in existing practices of treating doctors.
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