Abstract | Cilj istraživanja: Cilj ovog istraživanja je utvrditi znanje i stavove studenata medicinskog fakulteta u Splitu o korištenju lijekova u trudnoći i tijekom dojenja.
Materijal i metode: U istraživanju su sudjelovali studenti medicine, dentalne medicine i farmacije s Medicinskog fakulteta u Splitu u akademskoj godini 2021./2022.. Znanje i stavovi studenata su ispitani anketom koja je sadržavala 25 pitanja podijeljenih u 3 dijela za čiju su pripremu korišteni prethodno objavljeni upitnici.
Rezultati: U istraživanju je sudjelovalo ukupno 229 studenata Medicinskog fakulteta Sveučilišta u Splitu, od čega je 67 studenata medicine, 39 studenata dentalne medicine i 123 studenta farmacije. Najveći udio činili su studenti ženskog spola, a samo trećina studenata bila je muškog spola. Polovicu studenata činili su studenti farmacije, a najveći udio, gotovo četvrtinu, činili su studenti šeste godine studija. Veliki udio svih studenata prepoznao je da će se lijekovi korišteni za kronične bolesti možda morati prilagoditi tijekom trudnoće. Nešto je veći udio studenata medicine i farmacije, 94% i 90%, prepoznao potrebu za prilagodbom lijeka u trudnoći, u usporedbi s 82,1% studenata dentalne medicine. Najveći udio studenata prepoznao je zastoj u rastu fetusa. Najveći broj studenata svih studija navelo je krvarenje kao mogući učinak primjene lijekova u trudnoći, 85,6%, dok je najveći udio svih studenata, 59,8%, naveo da ne zna može li korištenje lijekova u trudnoći dovesti do gubitka pamćenja. Najveći udio studenata farmacije smatrao je da se tijekom trudnoće smiju koristiti bezreceptni lijekovi, ali da ljekarnik mora dati sve potrebne savjete i informacije, 61,7%, u usporedbi s 8,3% studenata dentalne medicine i 30% studenata medicine, p=0,03. Najveći udio studenata, 77,3%, smatrao je da trudnice ne smiju koristiti prirodne lijekove bez savjeta liječnika, a najmanji udio, 4,8%, da liječnici propisuju previše lijekova trudnicama. Čak 72,2% studenata navelo je znanstvene članke kao izvor informacija o kompatibilnosti lijeka s dojenjem.
Zaključak: Veliki je udio studenata medicine i farmacije prepoznao potrebu za prilagodbom lijeka u trudnica koje pate od kronične bolesti, u usporedbi sa studentima dentalne medicine. Većina studenata svjesna je kako utjecaja lijeka na fetus, tako i utjecaja lijeka na ženu. Međutim, uočena je potreba za povećanjem edukacije na formalnoj razini obrazovanja. |
Abstract (english) | Objectives: To determine the knowledge and attitudes of students of the Faculty of Medicine in Split about the use of medicines during pregnancy and breastfeeding.
Materials and methods: Students of medicine, dental medicine and pharmacy from the Faculty of Medicine in Split participated in the research in the academic year 2021/2022. The knowledge and attitudes of the students were examined with a survey that contained 25 questions divided into 3 parts for the preparation of which previously published questionnaires were used.
Results: A total of 229 students of the Faculty of Medicine of the University of Split participated in the research, of which 67 were medical students, 39 were dental students, and 123 were pharmacy students. The largest share was made up of female students, and only a third of students were male. Half of the students were pharmacy students, and the largest share, almost a quarter, were sixth-year students. A large proportion of all students recognized that medications used for chronic diseases may need to be adjusted during pregnancy. A slightly higher proportion of medical and pharmacy students, 94% and 90%, recognized the need to adjust medication during pregnancy, compared to 82.1% of dental students. The largest proportion of students recognized the growth retardation of the fetus. The largest number of students of all studies indicated bleeding as a possible effect of the use of drugs during pregnancy, 85.6. The largest share of pharmacy students believed that over-the-counter drugs can be used during pregnancy, but that the pharmacist must provide all necessary advice and information, 61.7%, compared to 8.3% of dental students and 30% of medical students, p=0 ,03. The largest share of students, 77.3%, believed that pregnant women should not use natural medicines without a doctor's advice, and the smallest share, 4.8%, believed that doctors prescribe too many medicines to pregnant women. As many as 72.2% of students cited scientific articles as a source of information on drug compatibility with breastfeeding
Conclusion: A large proportion of medical and pharmacy students recognized the need for medication adjustment in pregnant women suffering from chronic diseases, compared to students of dental medicine. Most students are aware of both the effect of the drug on the fetus and the effect of the drug on the woman. However, the need to increase education at the formal level of education was observed. |