基于德尔菲法的儿童居家备药现状调查及安全用药评估体系构建OA

Objective To establish an evaluation system for children's home safety medication,and to guide children's home safety medication.Methods A questionnaire survey was conducted to analyze the children's home-stocked medications and medication behavior in six communities within the jurisdiction of Deyang City,Sichuan Province,from August to October 2024.Based on the survey results,the Delphi method was used to conduct three rounds of inquiries with experts,and key indicators for children's home safety medication were screened to construct an evaluation system for children's home safety medication.Results A total of 126 survey questionnaires were distributed and collected,with an effective response rate of 100.00%.The results showed that guardians aged 30-44 were the main decision-makers for children's medication use(48.41%),while preschool-aged children(3-6 years old)were the key population for medication use(39.68%).The main home-stocked medications for children included antipyretic and analgesic drugs(76.19%)and respiratory system drugs(95.24%),but there were problems such as not regularly checking the expiration date of drugs(54.76%)and not using measuring instruments when taking medicine(53.97%).After three rounds of expert consultation,a children's home safety medication evaluation system was finally formed,including four primary indicators,twelve secondary indicators,and forty-seven tertiary indicators.Conclusion There is a gap between cognition and practice in children's home medication,and it is necessary to focus on the safety of medication for preschool-aged children and the management of home-stocked medications.The established evaluation system for children's home medication safety can provide an evidence-based guidance for children's rational medication use and ensure the safety of children's home medication.