■全球证据已将未使用的药物及其不当处置与不良健康联系起来,经济,环境,和道德影响。然而,这样的证据在卡塔尔很少。这项研究探讨了卡塔尔患者对未使用药物的知识和态度以及他们对药物供应和处置(KAP)的做法。材料和方法。
■在2020年2月至2020年10月之间使用预先测试的问卷进行了横断面调查。描述性统计,曼·惠特尼·U,并应用了Kruskal-Wallis秩和检验。卡方检验评估了社会人口统计学特征与KAP得分之间的关联。发现与KAP显著相关的特征(即,p值<0.05)作为预测变量进一步包括在多元线性回归模型中。
■发现与患者知识有关的所有项目均良好(平均得分>3),除了“对不需要的药物退货政策的认识”(平均得分<3),即,患者一致性水平最低(31%)(中位数(M)=3,四分位距(IQR)=3).他们的态度总体良好(平均得分>3)。相反,他们对药物供应的实践很差(平均得分<3)。未来可能的使用是报告最多的原因(79%)将药物留在家中,和家庭垃圾是最广泛的处理未使用的地方(76%)。非劳动者和其他职业的知识明显高于无工作患者(p<0.001)和(p=0.005),分别。家庭中有医疗保健提供者(HCPs)的患者的态度明显低于没有(p=0.001)的患者。40-49岁和家庭中有HCP的人的做法也明显低于18-29岁的人(p=0.012)和没有HCP的人,(p<0.001),分别。
■总的来说,患者对未使用药物的知识和态度似乎很好,而他们对药物供应和处置的做法是不好的。为了减轻健康,经济,以及未使用药物对环境的影响,干预措施,包括合理化药物供应,使用,处置,开处方,制造,并推荐推广。
UNASSIGNED: Global evidence has linked unused medications and their inappropriate
disposal to adverse health, economic, environmental, and ethical impacts. However, such evidence is scarce in Qatar. This study explored patients\' knowledge and attitude toward unused medications and their practices toward medication supply and
disposal (KAP) in Qatar.Materials and methods.
UNASSIGNED: A cross-sectional survey using a pretested questionnaire was performed between February 2020 and October 2020. Descriptive statistics, Man Whitney U, and Kruskal-Wallis Rank-Sum tests were applied. The Chi square test assessed the association between socio-demographic characteristics and KAP scores. Characteristics that were found significantly associated with KAP (i.e., p-values <0.05) were further included as predictor variables in the multiple linear regression model.
UNASSIGNED: All items pertaining to patients\' knowledge were found to be good (mean score > 3), except for \"awareness of unwanted medication return policy\" (mean score < 3), i.e., the lowest level of patient agreement (31 %) (median (M) = 3, Interquartile Range (IQR) = 3). Their attitude was generally good (mean score > 3). Conversely, their practice toward medication supply was poor (mean score < 3). Possible future use was the most reported reason (79 %) for keeping medications at home, and home trash was the most widely disposing place of unused ones (76 %). Knowledge was significantly higher among non-laborers and other occupations than among patients with no work (p < 0.001) and (p = 0.005), respectively. The attitude was significantly lower among patients with healthcare providers (HCPs) in their household than among those without (p = 0.001). Practices were also significantly lower among those aged 40-49 years and those with HCPs in their household than those aged 18-29 years (p = 0.012) and those without HCPs, (p < 0.001), respectively.
UNASSIGNED: Overall, patients\' knowledge and attitude toward unused medications seem good, while their practices toward medication supply and
disposal are bad. To mitigate the health, economic, and environmental impacts of unused medications, interventions including rationalizing drug supply, use,
disposal, prescribing, manufacturing, and promotion are recommended.