Infection Control Programme, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Department of Internal Medicine, Radboud University Medical Centre, Nijmegen, the Netherlands; Scientific Centre for Quality of Healthcare, IQ Healthcare, Radboud Institute for Health Sciences, Radboud University Medical Centre, Nijmegen, the Netherlands; Faculty of Medicine, Research Group of Immunology and Biochemistry, Hasselt University, Hasselt, Belgium.
Clin Microbiol Infect. 2019 Feb;25(2):249.e7-249.e12. doi: 10.1016/j.cmi.2018.04.030. Epub 2018 May 17.
To explore inpatients experiences and views with regard to antibiotics in five European hospitals.
Qualitative study where a patient-centred framework was used to explore inpatients' experiences concerning antibiotic treatment. A purposeful sample of inpatients treated with antibiotics in five hospitals participated in interviews (all centres) and focus groups (Switzerland only).
A total of 31 interviews (five in Belgium, ten in Croatia, nine in France, five in the Netherlands and two in Switzerland) and three focus groups (in Switzerland, 11 participants) were performed. The median age of participants was 61 years (range 33-86 years). The following main themes emerged: (a) patients trust doctors to take the best decisions for them even though communication concerning different antibiotic-related aspects is often insufficient, (b) patients feel that doctors do not prioritize communication due to time constraints and do not seem to adapt information based on patients' preferences, (c) patients differ in their wish to be informed but overall want to be informed on the main aspects in an understandable way, (d) patients often find reassurance in sharing information about their antibiotic treatment with close family, (e) professionals should explore patients' preferences to be involved or not in shared decision making for antibiotic treatment.
Inpatients often doubt their ability to understand medical information and trust their physicians to take the best decisions for them. Tailored strategies that inform hospitalized patients, acknowledging their concerns and preferences, may be useful to promote patient involvement and to improve communication regarding antibiotic use.
探索五家欧洲医院住院患者对抗生素的体验和看法。
这是一项定性研究，采用以患者为中心的框架来探讨住院患者对抗生素治疗的体验。我们在五家医院中选取接受抗生素治疗的住院患者作为研究对象，采用目的抽样法进行访谈（所有中心）和焦点小组讨论（仅在瑞士开展）。
共进行了 31 次访谈（比利时 5 次，克罗地亚 10 次，法国 9 次，荷兰 5 次，瑞士 2 次）和 3 次焦点小组讨论（瑞士 11 名参与者）。参与者的中位年龄为 61 岁（范围 33-86 岁）。出现了以下主要主题：（a）尽管关于抗生素相关方面的沟通常常不足，但患者信任医生会为他们做出最佳决策；（b）患者认为医生由于时间限制而不优先进行沟通，并且似乎不会根据患者的偏好调整信息；（c）患者在希望获得信息方面存在差异，但总体上希望以可理解的方式了解抗生素治疗的主要方面；（d）患者经常在与亲密家人分享抗生素治疗信息时感到安心；（e）专业人员应探讨患者参与或不参与抗生素治疗共同决策的意愿。
住院患者常常怀疑自己理解医疗信息的能力，并信任医生为他们做出最佳决策。针对住院患者的个体化策略，告知他们的关注点和偏好，可能有助于促进患者参与，并改善抗生素使用方面的沟通。
