METHODS: Data was extracted a mass survey of patients with of Covid-19 in Mashhad, and the patients were divided into two main groups: those who received medication with guidance from a medical professional (treatment group) and those who self-administered medications without professional oversight (self-treatment group). Statistical analysis was then conducted using SPSS version 26, the Chi-square, and multiple logistic regression test.
RESULTS: This study examined 3266 patients, with 1466 included in the analysis. Results showed that men (9.5 %), those living in rural areas (21 %), and those with no academic degree (37.5%) had a higher likelihood to self-medicating. Antibiotics were the most frequently used medications prior to hospitalization (9.5%). Comparing the two groups revealed that three drug categories- antibiotics, antivirals and other medications (medicines that are not in the other 4 main categories)- were utilized more often in the treatment group than in the self-treatment group, with a p-value of < 0.05. The only medical condition that had a significant difference between the two groups was diabetes, with 34.1 % in the self-treatment group versus 24.5 % in the treatment group (P < 0.05).
CONCLUSIONS: The Covid-19 pandemic has caused a surge in the inappropriate use of certain medications through self-medicating. This poses a serious risk to the health of patients, highlighting the need for not only adjusting guidelines but also raising awareness and enforcing compliance to prevent unnecessary use of drugs.
方法:数据来自马什哈德Covid-19患者的大规模调查,患者分为两大类:在医学专业人员指导下接受药物治疗的患者(治疗组)和在没有专业监督的情况下自行用药的患者(自我治疗组).然后使用SPSS版本26进行统计分析,卡方,和多元Logistic回归检验。
结果:这项研究检查了3266名患者,分析中包括1466。结果显示,男性(9.5%),生活在农村地区的人(21%),没有学历的人(37.5%)自我用药的可能性更高。抗生素是住院前最常用的药物(9.5%)。比较两组,发现三种药物类别——抗生素,抗病毒药物和其他药物(不在其他4个主要类别的药物)-在治疗组比在自我治疗组使用更频繁,p值<0.05。两组之间唯一有显着差异的医疗状况是糖尿病,自我治疗组为34.1%,治疗组为24.5%(P<0.05)。
结论:新冠肺炎大流行通过自我用药导致某些药物的不当使用激增。这对患者的健康构成了严重的风险,强调不仅需要调整指导方针,而且需要提高认识和强制遵守,以防止不必要的药物使用。