为了评估患病率,影响因素,和儿童自我药疗的行为规则。来自各种电子数据库的关于儿童自我药物治疗的文章(PubMed,科克伦图书馆,WebofScience,世界卫生组织网站(https://www.谁。int/),ABI,CNKI,和万方),被搜索到2022年8月。患病率的单组荟萃分析,影响因素,使用Revman5.3和Stata16.0进行儿童自我药疗的行为规则。儿童自我药疗的总体汇总患病率为57%(95%CI:0.39-0.75,I²=100%,P<.00001Z=6.22)。主要影响因素的汇总患病率,在照顾者方面,为:73%(95%CI:0.72-0.75,I²=100%,农村地区的P<.00001,Z=111.18);55%(95%CI:0.51-0.59,P=.04,Z=26.92,I²=68%,P<.00001)为女性;75%(95%CI:0.74-0.76,I²=68%,P<.00001,Z=106.66)对于收入低于716美元的人;77%(95%CI:0.75-0.79,I²=99%,中老年人的P<.000001,Z=92.59);和72%(95%CI:0.58-87,I²=99%,P<.00001,Z=9.82)对于学士学位以下的人。在儿童自我药物治疗的过程中,19%(95%CI:0.06-0.32,I²=99%,P<.00001,Z=2.82)的护理人员未阅读说明,28%(95%CI:-0.03-0.60,I²=100%,P<.000001,Z=1.77)忽略的不良反应,49%(95%CI:0.11-0.87,I²=100%,P=0.01,Z=2.51)自发增加或减少剂量,49%(95%CI:0.48-0.55,I²=65%,P<.00001,Z=16.51)了解非处方药(OTC),和41%(95%CI:0.18-0.64,I²=99%,P<.00001,Z=3.49)错误识别抗生素。儿童自我药物治疗很常见,尽管总体患病率不是很高。儿童自我药疗的患病率在女性照顾者中相对较高,农村,低收入,年纪大了,或者学士学位以下。儿童自我药物治疗期间的常见行为包括自发剂量增加或减少,缺乏对非处方药的认识,以及对抗生素的误解.政府部门应制定相应政策,为儿童照顾者提供优质的健康教育资源。
To evaluate the prevalence, influencing factors, and behavior rules of self-medication in children. Articles on self-medication in children from various electronic databases (PubMed, Cochrane Library, Web of Science, the WHO website (https://www.who.int/), ABI, CNKI, and Wanfang), were searched to August 2022. The single-group meta-analyses of the prevalence, influencing factors, and behavior rules of self-medication in children were performed using Revman 5.3 and Stata 16.0. The overall pooled prevalence of self-medication in children was 57% (95% CI: 0.39-0.75, I² = 100%, P < .00001 Z = 6.22). The pooled prevalence for main influencing factors, in terms of caregivers, was: 73% (95% CI: 0.72-0.75, I² = 100%, P < .00001, Z = 111.18) for those in rural areas; 55% (95% CI: 0.51-0.59, P = .04, Z = 26.92, I² = 68%, P < .00001) for females; 75% (95% CI: 0.74-0.76, I² = 68%, P < .00001, Z = 106.66) for those whose income was less than 716 dollars; 77% (95% CI: 0.75-0.79, I² = 99%, P < .000001, Z = 92.59) for the middle-aged and elderly; and 72% (95% CI: 0.58-87, I² = 99%, P < .00001, Z = 9.82) for those with a degree below bachelor. In the process of self-medication for children, 19% (95% CI: 0.06-0.32, I² = 99%, P < .00001, Z = 2.82) of the caregivers did not read the instructions, 28% (95% CI: -0.03-0.60, I² = 100%, P < .000001, Z = 1.77) neglected adverse effects, 49% (95% CI: 0.11-0.87, I² = 100%, P = .01, Z = 2.51) spontaneously increased or decreased the dosages, 49% (95% CI: 0.48-0.55, I² = 65%, P < .00001, Z = 16.51) had an awareness of over-the-counter (OTC) drugs, and 41% (95% CI: 0.18-0.64, I² = 99%, P < .00001, Z = 3.49) misrecognized the antibiotics. Self-medication for children was common, although the overall prevalence was not very high. The prevalence of self-medication in children was relatively higher among those caregivers who were female, rural, had low-income, were elder, or had a degree below bachelor. Common behaviors during self-medication in children included spontaneous dose increase or decrease, a lack of awareness of OTC drugs, and misconception of antibiotics. Government departments should formulate corresponding policies to provide quality health education resources for the caregivers of children.