scholarly journals A study to assess self-medication practice among undergraduate medical students in a tertiary care hospital

Author(s):  
Girija Mani ◽  
Pushpam Mokkaiyan ◽  
Razia Abdul Rasheed

Background: Self-medication is an important public health concern globally. Many factors influence the practice of self-medication among medical students, because of the earlier professional exposure to information about drugs in their curriculum. In view of this, the present study has been designed to assess the practice of self- medication among undergraduate medical students. The objective of the study was to assess self- medication practice among undergraduates and to list out the commonly selected drugs and the conditions.Methods: This questionnaire based, cross- sectional model, was conducted among 150 students of 2nd year MBBS for a period of 3 months. This study was approved by Institutional Ethics Committee and written informed consent was obtained from all the participants.Results: Out of 150 students 71 were male and 79 were female students with an average age of 19.5±1.5. 80% of the candidates practiced self- medication, (48%) for headache, followed by cough and cold (45.83%). The drugs preferred primarily were analgesics (67%), antimicrobials (64%), and the source of information was previous prescription (80%). 70% of the study subjects felt that, no need to visit a doctor for minor illness, 50% of the students anticipated, fear of selecting wrong drugs and adverse effects.Conclusions: The practice of self- medication was highly prevalent among these future health care providers. Hence, this study emphasis an urgent need to strengthen the risk outweighs the benefit and consequences of self- medication practice.

2020 ◽  
pp. 48-50
Author(s):  
Dipsikha Das ◽  
Kalpana Gohain

Introduction: Self medication is referred to the use of medications to treat self-diagnosed disorders or symptoms without a valid prescription. Self medication practice is seen widely due to availability of over the counter drugs and lack of awareness of adverse drug reactions. Aims and Objectives: To study the knowledge, attitude and practice of self medication for diarrhoea among undergraduate medical students in a tertiary care hospital of Assam. Materials and methods: A cross-sectional questionnaire based study was carried out among the Undergraduate medical students of Assam Medical College & Hospital, Dibrugarh. The questionnaire was designed to assess the Knowledge, attitude and practice of self-medication for diarrhoea. A total of 130 students were included in the study after obtaining written informed consent from them. The data of the completely filled up questionnaire was analyzed and presented as mean and percentage. Results: Out of 130 students 89.23% practised self-medication for diarrhoea. The most common cause of self medication practice was to save time and source of information was from medical textbooks. The most common source of medicines was medical stores and commonly used drugs for diarrhoea were ORS, Metronidazole, Ofloxacin, probiotics and anti-motility drugs. Only 17.25% of students had awareness of the harmful effects of self medication for diarrhoea. Conclusion: There is high prevalence of self-medication practice to treat diarrhoea among undergraduate medical students which necessitates proper education and awareness regarding the benefits and hazards associated with self medication practice.


Author(s):  
Ramya Rachamanti ◽  
Zaheda Bano

Background: According to World Health Organization resources, Self-medication is selection and use of drugs to treat self-diagnosed disorders or symptoms which includes the usage of non-prescription drugs. It is widely seen among undergraduate students especially in developing countries like India. Our objective of the study is to know the pattern of self-medication practice among undergraduate medicos in medical college attached to tertiary care hospital.Methods: This is a Prospective, cross-sectional, questionnaire-based study conducted among 184 medical students of 5th Semester in pharmacology lecture gallery, Guntur Medical College and Hospital, A.P. India. Among 200 students of 5th semester, 184 students gave the written consent for the study and submitted the given questionnaire. Fourteen questionnaires were incomplete and so the remaining 170 were analysed.Results: Results showed that 126 (74%) respondents practiced self-medication. The main health issues for seeking self-medication were found to be upper respiratory tract infection as reported by 39 students (31%) followed by diarrhea (32 students) (25%), fever (23 students) (18%). Drugs commonly used were analgesics (32%) followed by antibiotics (24%). The reasons for practicing self-medication were mild illness for 66 students (52%) and time-saving for 35 students (28%).Conclusions: Though the self-medication practice is inevitable, drug authorities and health professionals need to educate students about the pros and cons of practicing self-medication.


2017 ◽  
Vol 10 (1) ◽  
pp. 63-68 ◽  
Author(s):  
Manjusha Sajith ◽  
Sruthi M. Suresh ◽  
Naveen T. Roy ◽  
Dr. Atmaram Pawar

Background: Self-medication practice is common among health care professionals due to their professional exposure to drugs and knowledge of treatment of their disease. Objective: The aim was to assess self-medication practice among medical, pharmacy, and nursing students in a tertiary care hospital, Pune. Method: A cross-sectional survey was carried out over a period of three months. A self-administered questionnaire was used for data collection. Results: A total of 318 students participated in the survey; among them106 were medical, 106 were nurses and 106 were Pharmacy students. Out of the total participants, 52.5% were females. Among them, 280 (87.5%) were practicing self- medication. Most drugs for self-medication were obtained from the pharmacy or drug shops, and the most commonly used drugs were non-steroidal anti- inflammatory drugs(81.2%) and antipyretics (67.6%) and antibiotics (35.0%). However, 112 (35.0%) of health care professional students had received antibiotics without medical prescription in the past few months. Common reported illnesses were fever and chills (62.5%) followed by headache (40.0%) and common cold(35.0%).The main reasons for self- medication was that their knowledge about drugs and diseases helped them (67%) and their health problem was not serious(65%). 40 (12.0%) were against self -medication practice and their reasons were fear of misdiagnosis of illness and adverse effect of drugs. Conclusion: Our study concluded that self-medication was practiced with a range of drugs among health care professional students. Educating the students and creating awareness among them may decrease the chance of self-medication practice.


Author(s):  
Anjali Singh ◽  
Sruthi Bhaskaran ◽  
Anshuja Singla

Background: Due to unrestricted free availability of abortion pills, despite of national policies, guidelines and medical termination of pregnancy (MTP) act, unsafe abortions by self-administration of these drugs for termination of unwanted pregnancies without prescription are becoming common in our country, leading to associated morbidity and mortality.Methods: A prospective Observational study was done at Guru Teg Bahadur hospital, university college of medical sciences, New Delhi, from November 2019 to April 2020, in the department of gynecology and obstetrics, on women visiting the outpatient department and casualty department with the history of self-administration of medical termination pills without prescription. This study was done to study the outcome and complications occurring due to self-administration of over-the-counter abortion pills that are freely available in the market. 95 women were included in study and data was collected regarding age, education level, parity, presenting complaints, complications and their management. Descriptive analysis of the collected data was done.Results: In this study 95 women were included 71.6% took pills before 8 weeks of gestation, 1% took in second trimester. 46.3% landed up in incomplete abortion and 33.68% needed surgical evacuation, 8.42% had ectopic out, 2.1% had scar site pregnancy and 7.36% needed laparotomy, 1.05% had rupture uterus followed by abortion pill intake while 1.05% suffered from acute kidney injury (AKI). There was no ICU admission nor any mortality.Conclusions: There is urgent need of strict legislation to curtail this bad practice and free availability of over-the-counter abortion pills which leads to unexpected morbidity and mortality, such drugs should be given only by health care providers under supervision, there is need of community level awareness so as to impart knowledge regarding this problem. 


2016 ◽  
Vol 44 (7) ◽  
Author(s):  
Samina Ismail ◽  
Shemila Abbasi ◽  
Sobia Khan ◽  
Abdul Monem ◽  
Gauhar Afshan

AbstractAims:The aim of this study was to evaluate the factors responsible for epidural analgesia (EA) refusal among parturient patients.Methods:In this prospective cross-sectional study of six months, we included all consenting postpartum patients having a non-operative delivery in the obstetric unit of our hospital. Data were collected on a predesigned questionnaire and included information such as parity, education, reasons for delivering with or without EA, source of information and patient satisfaction. Knowledge regarding EA was assessed from patients delivering without EA.Results:From 933 patients enrolled, 730 (78.2%) delivered without EA, and 203 (21.7%) with EA. Only 11 (1.5%) patients refused EA for the reason of having natural birth process. Otherwise common reasons were misconceptions (65.9%) and lack of awareness about EA (20.5%); 70.5% had no knowledge of common side effects of EA. Among patients delivering with EA, 92.6% were offered EA by health care providers and had obstetricians and anesthesiologists as their sources of information.Conclusions:Patients in developing countries are laboring without EA, even in centers where there is a provision for it. The main reasons for not availing themselves of EA are lack of awareness and knowledge and misconceptions, rather than the desire to have un-medicated natural birth.


CJEM ◽  
2016 ◽  
Vol 18 (S1) ◽  
pp. S86-S86
Author(s):  
L.B. Chartier ◽  
S. Hansen ◽  
D. Lim ◽  
S. Yi ◽  
B. McGovern ◽  
...  

Introduction: In order to achieve the best possible outcomes for patients requiring resuscitation (PRRs) in the emergency department (ED), health care providers (HCPs) must provide an efficient, multi-disciplinary and coordinated response. A quality improvement (QI) project was undertaken to improve HCP response to PRRs at two tertiary care hospital EDs in Toronto. Methods: We conducted a before-and-after mixed-method survey to evaluate the perception of the adequacy of HCP response and clarity of HCP role when responding to PRRs. The results were compared using the Chi-square test. Qualitative responses to the first survey were also used to inform the development of the QI project. Through interviews of key stakeholders and with continuous input from front-line ED HCPs, a multi-disciplinary team modified the ED resuscitation protocol. This included standardized pre-hospital communication form with paramedics, ED-wide overhead announcement of ‘Code Resus’, dedicated HCPs assigned to respond to PRRs, and specific duties assigned to each responder. Change initiatives were reinforced through education and posters in the ED. Six months after implementation, a second survey was conducted to evaluate the sustained effects of the intervention. Results: Baseline measures indicated that 16 of 52 (30.8%) nurses surveyed believed their role was often or always apparent to themselves and others when they attended to a PRR (on a 5-point rating scale). This proportion increased to 35 of 55 (63.6%) nurses in the post-implementation survey (p < 0.001). Regarding adequacy of the number of HCPs responding to PRRs, 17 of 39 (43.6%) physicians and 23 of 53 (43.4%) nurses surveyed thought the appropriate number of HCPs responded to PRRs; the remainder thought that there were too few or too many HCPs. In the post-implementation survey, 34 of 41 (82.9%) physicians (p < 0.001) and 36 of 56 (64.3%) nurses (p = 0.029) surveyed felt that the appropriate number of HCPs attended to PRRs. Conclusion: Using a quality improvement approach, we identified and quantified perceived deficiencies in HCP response to PRRs in the ED. Through feedback-based modifications of the ED resuscitation protocol and by engaging HCP stakeholders, change initiatives were implemented to improve HCP response. As a result, this project achieved significant and sustained improvements in HCPs’ perceived response to PRRs.


Sign in / Sign up

Export Citation Format

Share Document