社区领袖在合理药物使用素养方面的作用:结构方程建模
Thunpitcha Sakpirom1, Kusawadee Maluangnon1, Chaoncin Sooksriwong1
1Drug Information and Consumer Protection Center, Center of Excellence in Pharmacy Practice and Management Research, Faculty of Pharmacy, Thammasat University, Pathum Thani, Thailand.
Exploratory research in clinical and social pharmacy
|November 13, 2025
概括
社区领导人表现出更高的合理药物使用素养 (RDUL),改善了药物使用行为. 战略应该利用领导人来加强RDUL,并在社区中促进知情的药物使用.
科学领域:
- 公共卫生 公共卫生
- 卫生识字 卫生识字
- 药物治疗 药物治疗 药物治疗 药物治疗 药物治疗 药物治疗
背景情况:
- 不合理的药物使用是全球性的挑战,特别是在医疗保健服务有限的地区.
- 泰国合理药物使用 (RDU) 倡议面临着抗生素滥用和自我治疗等持续问题.
- 合理药物使用素养 (RDUL) 对于改善药物使用行为至关重要,但社区领导者的角色未得到充分探索.
研究的目的:
- 调查泰国社区成员和领导人的合理药物使用素养 (RDUL) 水平.
- 检查情境和社会环境因素对RDUL的影响.
- 了解社区领导在情境因素与RDUL之间的关系中的调节作用.
主要方法:
- 一项涉及328名参与者 (168名社区成员,160名社区领导人) 的横截面研究,在泰国Pathum Thani省进行.
- 通过结构化问卷和验证的RDUL工具收集数据.
- 结构方程建模 (PLS-SEM) 来分析对RDUL的直接和缓解影响.
主要成果:
- 社区领导人显示RDUL明显高于社区成员 (p=.003),特别是在获取,评估和应用药物信息方面.
- 情况因素 (β=0.357,p<.001) 和社会环境因素 (β=0.168,p=0.021) 都对RDUL产生了积极的影响.
- 领导层减少了局势因素的影响 (β=-0.634,p<.001),但对RDUL的社会环境因素影响 (β=0.327,p=0.058) 放大了.
结论:
- 社区领导人在塑造RDUL方面发挥着至关重要的作用,并影响着背景因素如何影响药物素养.
- RDUL 策略应该让社区领导人作为可信的人物参与,以促进明智使用药物.
- 将社区领导力纳入卫生计划可以提高RDU倡议在资源有限的环境中的有效性和可持续性.
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