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积极的教育干预作为一种改善抗生素安全合理使用的工具。

Active educational intervention as a tool to improve safe and appropriate use of antibiotics.

作者信息

Shehadeh Mayadah B, Suaifan Ghadeer A R Y, Hammad Eman A

机构信息

Department of Pharmaceutical Sciences, Faculty of Pharmacy, The University of Jordan, Amman 11942 Jordan.

Department of Biopharmaceutics and Clinical Pharmacy, Faculty of Pharmacy, The University of Jordan, Amman 11942, Jordan.

出版信息

Saudi Pharm J. 2016 Sep;24(5):611-615. doi: 10.1016/j.jsps.2015.03.025. Epub 2015 Mar 21.

Abstract

Misconception about antibiotics use among the public has been widely outlined to be a main reason for inappropriate use of antibiotics including failure to complete treatment, skipping of doses, re-use of leftover medicines and overuse of antibiotics. The study was devised to evaluate whether education might be a potential strategy to promote safer use of antibiotics and reducing self-medication. Two hundred seventy one adults were asked to complete two questionnaires; a pre and posteducation. The questionnaires comprised of three parts consisting of 17 statements assessing the knowledge on: appropriate use, safe use and resistance of antibiotics. Knowledge score was estimated by calculating the percentage of correct responses. The mean (SD) knowledge score pre-education was 59.4% (20.3). However, posteducation the score was 65.9% (17.9),  < 0.001(-test). Knowledge scores were classified as poor, adequate and good. Posteducation, participants within poor and adequate knowledge categories were significantly shifted to the good category describing better knowledge, McNemar-2 = 28.7,  = 3,  < 0.001. It is concluded that using tailored education material targeting antibiotic need and use with a major aim of improving the public knowledge about antibiotics can be an effective and feasible strategy. This pilot study could be considered as the starting point for a wider scale public educational intervention study and national antibiotic campaign. However, the improvement in participant's knowledge might not reflect an actual change in antibiotics-seeking behaviour or future retention of knowledge. Future research should seek to assess the impact of education on participant's behaviour.

摘要

公众对抗生素使用的误解已被广泛指出是抗生素使用不当的主要原因,包括治疗不彻底、漏服、重复使用剩余药物以及抗生素的过度使用。该研究旨在评估教育是否可能是促进抗生素更安全使用和减少自我用药的潜在策略。271名成年人被要求完成两份问卷:一份是教育前问卷,一份是教育后问卷。问卷由三部分组成,包含17条陈述,用于评估以下方面的知识:抗生素的合理使用、安全使用和耐药性。知识得分通过计算正确回答的百分比来估计。教育前的平均(标准差)知识得分为59.4%(20.3)。然而,教育后的得分是65.9%(17.9),P<0.001(t检验)。知识得分被分为差、足够和好三类。教育后,知识水平差和足够的参与者显著转变为知识水平好的类别,描述了更好的知识,McNemar检验χ2=28.7,自由度=3,P<0.001。研究得出结论,使用针对抗生素需求和使用情况的定制教育材料,主要目的是提高公众对抗生素的认识,可能是一种有效且可行的策略。这项试点研究可被视为更广泛的公众教育干预研究和全国抗生素宣传活动的起点。然而,参与者知识的提高可能并不反映在寻求抗生素行为上的实际变化或未来知识的保留情况。未来的研究应寻求评估教育对参与者行为的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2de7/5059833/c15b1d6b2ccf/gr1.jpg

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