بررسی شیوع خوددرمانی و عوامل مرتبط با آن در زنان ایرانی: یک مطالعه مرور سیستماتیک

نوع مقاله : مروری

نویسندگان

1 کارشناس ارشد بهداشت باروری، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 استادیار گروه بهداشت باروری، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

چکیده

 
مقدمه: خوددرمانی، یک نگرانی قابل توجه در سطح جهانی است. بررسی مصرف خودسرانه دارو در جمعیت زنان به‌دلیل واقع شدن در دوران‌های حساسی همچون بارداری و شیردهی بیش از پیش ضروری به‌نظر می‌رسد. مطالعه سیستماتیک حاضر با هدف بررسی شیوع خوددرمانی و عوامل مرتبط با آن در زنان ایرانی صورت گرفت.
روش‌کار: در این مطالعه جهت یافتن مقالات مرتبط، پایگاه‌های اطلاعاتی بین‌المللی pubmed، web of science، Scopus، science direct، google scholar، Cochran libraryو پایگاه‌های اطلاعاتی ملی همچون SID و magiran با استفاده از کلمات کلیدی شامل self-medication، epidemiology، Drug women، prevalence با عملگرهای بولین AND و OR بدون محدودیت زمانی و به زبان انگلیسی و فارسی مورد بررسی قرار گرفتند. در نهایت دو پژوهشگر به‌طور مستقل مقالات را جهت ارزیابی کیفیت (با استفاده از چک‌لیست NOS ) و استخراج داده­ های اصلی آنها مورد بررسی قرار دادند.
یافته­ ها: 13 مقاله با حجم نمونه کلی 5802 نفر مورد ارزیابی قرار گرفت. سال انتشار مقالات از 2008 تا 2020 بود و تمامی از نوع مطالعات مقطعی بودند. نتایج نشان داد که شیوع خوددرمانی در زنان ایرانی نسبتاً بالا و حدود 15/49% می­ باشد و جزئی بودن مشکل و بیماری، اعتقاد به بی­ ضرر بودن خوددرمانی، مهم تلقی نکردن بیماری، تجربه قبلی بیماری و بالا بودن هزینه ویزیت پزشک، از مهم‌ترین دلایل خوددرمانی در زنان ایرانی هستند.
نتیجه ­گیری: خوددرمانی در بین زنان از شیوع نسبتاً بالایی برخوردار بوده و نیاز به مداخلات مؤثری برای کاهش و پیشگیری از خوددرمانی می ­باشد. ارائه اطلاعات مورد نیاز و افزایش آگاهی زنان در مورد عوارض ناشی از خوددرمانی نیز باید مورد توجه قرار گیرد. 

کلیدواژه‌ها

عنوان مقاله [English]

Prevalence of self-medication and related factors in Iranian women: A systematic review study

نویسندگان [English]

  • Razie Mohammdi Chermahini 1
  • Sedigheh Amir Ali Akbari 2
  • Seyedeh Hanieh Alamolhoda 2
1 M.Sc. in Reproductive Health, Midwifery & Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Assistant professor, Department of Midwifery & Reproductive Health, Midwifery & Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Self-medication is a significant concern worldwide. Investigating the arbitrary use of drugs in women's population seems more necessary because it occurs in sensitive periods such as pregnancy and breastfeeding. The present systematic review study was performed aimed to investigate the prevalence of self-medication and its related factors in Iranian women.
Methods: In this study, to find the related articles, the international databases of PubMed, Web of Science, Scopus, Science Direct, Google Scholar, Cochran Library, and national databases such as SID and Magiran were searched using the keywords of self-medication, epidemiology, drug women, and prevalence with Boolean operators of AND and OR without time limit and in English and Farsi languages. Finally, two researchers independently examined the articles to evaluate their quality (using the NOS checklist) and extract their primary data.
Results: A total of 13 articles with a total sample size of 5802 people were evaluated. The year of publication of the articles was 2008 to 2020, and all of them were cross-sectional studies. The results showed that the prevalence of self-medication in Iranian women is relatively high and about 49.15% and the most important reasons for self-treatment in Iranian women are the smallness of the problem and disease, belief in the harmlessness of self-treatment, not considering the condition as necessary, previous experience of the disease, and the high cost of a doctor's visit.
Conclusion: Self-medication among women has a relatively high prevalence, and there is a need for effective interventions to reduce and prevent self-medication. It should be considered to provide the required information and increase women's awareness about the complications of self-treatment.

کلیدواژه‌ها [English]

  • Arbitrary use
  • Medication
  • Pregnancy
  • Prevalence
  • Self-medication
  • Women

مراجع

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مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 8
آبان 1401
صفحه 109-121

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