[[alternative]]The research of related factors that affect the medication behavior in nursing staffs

[[abstract]]目的：本研究目的為探討從業護理人員用藥態度和行為之相關因素。方法：本研究為橫斷式研究設計。於民國107 年07月 01日至107年8 月30日止，自擬問卷調查表，利用電子線上問卷為研究工具進行調查，透過通訊社群媒體，邀請填寫問卷，共300 人。結果：研究對象31~40歲居多。區域教學醫院護理師佔48.3%，內科病房執業人數最多，大學學歷佔61%，已婚人數為172人(57.3%)。有慢性疾病共39人，最近一年內有疼痛及失眠狀況最多。年齡越大罹患慢性病者多， 在區域教學醫院護理師比較多疼痛問題，有輪班、已婚會有失眠情形。基本人口學與自覺目前健康狀況、用藥態度與用藥行為有差異，與就醫經驗無差異。年齡、工作年資、醫院層級及教育程度會影響用藥行為，用藥態度越差自我用藥行為則越多。結論： 本研究結果發現，雖然護理人員有正確的用藥態度，但用藥行為不佳。護理師應具有良好用藥專業之態度，自認為對藥物有一定認識、了解疾病，且獲得藥物管道容易，因而產生自我用藥的行為，但此行為有可能造成延誤疾病治療。希望本結果可讓醫療機構及臨床護理人員，加強藥物管理，對於隨手可得的藥物需加強使用藥物的觀念及用藥安全。[[abstract]]Objective: To investigate the relationship between attitude toward medication usage and self-medication behavior in nurses.Methods: A cross-sectional study was conducted from June to August 2018. A self-developed questionnaire was administered online, and 300 respondents were recruited through social media.Results: Most respondents were 31–40 years old; 48.3% of nurses were from regional teaching hospitals, where most of these nurses were practitioners in medical wards; 61% had a university degree; 57.3% (172) were married; 39 had at least one chronic disease; and most had problems with pain and insomnia in the previous year. In general, older people were more likely to have chronic diseases, nurses in regional teaching hospitals were more likely to experience greater problems with pain, and those who worked in shifts or who were married were more likely to have insomnia. Self-rated current health status, attitudes toward medication usage, and self-medication behavior varied with demographic characteristics and did not vary with medical experience. Age, working experience, hospital level, and education level potentially affected self-medication behavior. The worse a person’s attitude toward medication was, the more self-medication behavior occurred.Conclusion: This study determined that although nursing staff had better attitudes toward medication, they frequently engaged in self-medication behavior. Nursing professionals are more likely to have better attitudes toward medication, perceptions that they are knowledgeable about the drug and the disease, and easy access to medication, thus resulting in self-medication behavior. Self-medication, however, delays disease treatment. This result can enable medical institutions and clinical nursing staff to strengthen drug management, in particular, drug safety and the concept of drug use with respect to available drugs