A Study of the Knowledge, Attitude and Behavior of Correct Medication Usage among Junior High School Students in Central Taiwan

• Main Authors: FU, CHUNG-YUGN, 傅中勇
• Other Authors: HO, CHIN-CHIH
• Format: Others
• Language: zh-TW
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/5pv5p3

碩士 === 中臺科技大學 === 醫療暨健康產業管理系碩士班 === 105 === Abstract Background: The rise of cost of medicine in Taiwan shows that the behavior of correct medication usage among people is not easy to change (National Health Insurance Administration of Ministry of Health and Welfare, 2014). The survey indicated that the number of drug relief applications had increased from 55 cases in 1999 to 2,808 cases in May 2016. In addition, the report of anonymous patient safety notification incidents of the Taiwan Patient Safety Reporting System (TPR) occurred in the hospital about 50,879 cases, of which 17,381 cases were drug events, accounting for 34.2%, which indicated that the importance knowledge, attitude and behavior of correct medication usage. Objectives: To explore the status and difference of knowledge, attitude and behavior of correct medication usage after receiving health education and self-reading among junior high school students. Methods: This study adopted the pretest-protest design of quasi- experimental design. A total of 144 students of 8 grade of two junior high schools in the central region was enrolled with purposive sampling during May 22 to June 09, 2017. One school with 69 students (male: 37, female: 32) was assigned to experimental group and the other with 75 students (male: 35, female: 40) was assigned to control group. The experimental group was educated by a pharmacist, while the control group was offered by instructional material for self-reading. All the students received the pretest and the posttest with structured questionnaire. The questionnaire included student’s background, correct medication usage knowledge scale, correct medication usage attitude scale and correct medication usage behavior scale. Statistical methods used in this study including descriptive statistics, t test, chi-square test, Pearson product moment correlation coefficient analysis. Results: The main purchase medication of students’ family in this study was "Bringing back after I go to see a doctor"; the relevant resources and knowledge in taking medication was mainly obtained from "medical personnel (doctors, nurses, pharmacists, etc.)"; the first two items in order of learning the knowledge of correct medication usage were "speech" and "health education propaganda from medical stuff (physicians, nurses, pharmacists)". The post-test accuracy rate of knowledge of correct medication usage was 80%, and the attitude and behavior of correct medication usage reached to middle to upper level in the experimental group. The post-test score of attitude of medication usage among five core competencies in the experimental group, the score of core competencies 3 " clearly understand how and when to take the medication " ranked the highest. And post-test score of behavior of medication usage, the score of core competencies 5 "making friends with pharmacists and physicians- find doctors when sick, find pharmacists when medication" ranked the highest. After the intervention of health education, the pretest-protest of knowledge, attitude and behavior of correct medication usage in the experimental group were significantly different, and the posttest of those medication issues in experimental group were significantly higher than those of the control group. There was significant positive relationships among knowledge, attitude and behavior of the correct medication usage in the experimental group. The above showed that the intervention of this study was effective. Conclusion: The results of this study can provide educational institutions as best reference for the future implementation of the correct medication usage in the school, so that students can get the right awareness and positive attitude as well as enhance the positive behavior in safe medication usage. Key words: correct medication usage, knowledge, attitude, behavior, junior high school students