Eley Charlotte V, Lecky Donna M, Hayes Catherine V, McNulty Cliodna Am
Public Health England Primary Care Unit, Gloucester, UK.
J Infect Prev. 2020 May;21(3):97-107. doi: 10.1177/1757177420907698. Epub 2020 May 4.
Patient education on treatment choices for common respiratory tract infections (RTIs) is important to encourage appropriate antibiotic use. Evidence shows that use of leaflets about RTIs can help reduce antibiotic prescribing. TARGET leaflets facilitate patient-clinician communication in consultations.
To explore patient, healthcare professional (HCP) and general practice (GP) staff views on the current Treating Your Infection (TYI)-RTI leaflet and proposed new 'antibiotic effect' column aimed at sharing information on the limited effect antibiotics have on the duration of RTIs.
Service evaluation underpinned by Com-B behavioural framework, using patient and HCP questionnaires, and GP staff interviews/focus groups.
Patients completed 83 questionnaires in GP waiting rooms. A lack of patient understanding about usual illness duration influenced their use of antibiotics for some RTIs. Patients provided positive feedback about the leaflet, reporting it increased their capability to self-care, re-consult when necessary and increase understanding of illness duration. Patients indicated they would value information on the difference antibiotics can make to illness duration. In total, 43 HCP questionnaires were completed and 16 GP staff participated in interviews/focus groups. Emerging themes included: barriers and facilitators to leaflet use; modifications; and future dissemination of the leaflet. GP staff stated that the 'antibiotic effect' column should not be included in the leaflet.
Patient education around usual illness duration, side effects of antibiotics and back-up prescriptions gives patients a greater control of their infection management. As GP staff opposed the extra information about benefits of antibiotics on illness duration, this will not be added.
对常见呼吸道感染（RTIs）的治疗选择进行患者教育对于鼓励合理使用抗生素很重要。有证据表明，使用关于RTIs的宣传册有助于减少抗生素的处方量。目标宣传册有助于在会诊中促进医患沟通。
探讨患者、医护人员（HCP）和全科医疗（GP）工作人员对当前的《治疗您的感染》（TYI）-RTIs宣传册以及拟议的新“抗生素效果”专栏的看法，该专栏旨在分享关于抗生素对RTIs病程影响有限的信息。
以Com-B行为框架为基础进行服务评估，采用患者和HCP问卷以及GP工作人员访谈/焦点小组的方式。
患者在GP候诊室完成了83份问卷。患者对常见疾病病程缺乏了解影响了他们对某些RTIs使用抗生素的情况。患者对宣传册给予了积极反馈，称其提高了自我护理能力、必要时再次咨询的能力以及对疾病病程的理解。患者表示他们重视关于抗生素对疾病病程影响差异的信息。总共完成了43份HCP问卷，16名GP工作人员参与了访谈/焦点小组。新出现的主题包括：宣传册使用的障碍和促进因素；修改内容；以及宣传册的未来传播。GP工作人员表示宣传册不应包含“抗生素效果”专栏。
围绕常见疾病病程、抗生素副作用和备用处方进行患者教育，能让患者更好地控制自身感染的管理。由于GP工作人员反对在宣传册中增加关于抗生素对疾病病程益处的额外信息，因此不会添加该内容。
