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一种在社区环境中提高对抗生素理解的注重读写能力的方法。

A literacy-sensitive approach to improving antibiotic understanding in a community-based setting.

作者信息

David Crystal M, O'Neal Katherine S, Miller Michael J, Johnson Jeremy L, Lloyd Ann E

机构信息

Clinical Medicine Infectious Diseases, University of Oklahoma Health Sciences Center, Tulsa, OK, USA.

School of Community Medicine, College of Pharmacy, Clinical and Administrative Sciences, University of Oklahoma, Tulsa, OK, USA.

出版信息

Int J Pharm Pract. 2017 Oct;25(5):394-398. doi: 10.1111/ijpp.12332. Epub 2017 Jan 18.

Abstract

OBJECTIVE

Antibiotic misuse contributes to antibiotic-resistant bacterial infections. Patient and prescriber knowledge and behaviors influence antibiotic use. Past research has focused on describing and influencing prescriber behavior with less attention to the patient role in antibiotic use. This study seeks to: (1) develop and deploy a program to enhance patient knowledge about antibiotic use; (2) evaluate whether providing patient education is associated with improvements in antibiotic knowledge in a community-based sample; and (3) explore whether health literacy may be associated with knowledge of appropriate antibiotic use.

METHOD

This study developed, deployed, and evaluated whether community-based educational seminars enhance patient knowledge about antibiotic use.

KEY FINDINGS

Twenty-eight participants from five locations completed the seminar. The antibiotic knowledge index score significantly increased by 2.0 points on the 14 point knowledge index from 10.95 (±2.88) to 12.95 (±1.72) (P = 0.0011) for the 19 participants completing both the pre and post-test.

CONCLUSION

A community-based educational seminar on appropriate antibiotic use can effectively increase patient understanding of their role in antibiotic stewardship and combat the inappropriate use of antibiotics.

摘要

目的

抗生素的滥用会导致对抗生素产生耐药性的细菌感染。患者和开处方者的知识与行为会影响抗生素的使用。过去的研究主要集中在描述和影响开处方者的行为,而较少关注患者在抗生素使用中的作用。本研究旨在:(1)开发并实施一个项目,以增强患者对抗生素使用的了解;(2)评估在社区样本中提供患者教育是否与抗生素知识的改善相关;(3)探讨健康素养是否可能与正确使用抗生素的知识相关。

方法

本研究开发、实施并评估了基于社区的教育研讨会是否能增强患者对抗生素使用的了解。

主要发现

来自五个地点的28名参与者完成了该研讨会。在完成前后测试的19名参与者中,抗生素知识指数得分在14分的知识指数上显著提高了2.0分,从10.95(±2.88)提高到12.95(±1.72)(P = 0.0011)。

结论

关于正确使用抗生素的基于社区的教育研讨会可以有效地提高患者对其在抗生素管理中的作用的理解,并对抗生素的不当使用。

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