Jones Leah F, Williamson Heidi, Downing Petronella, Lecky Donna M, Harcourt Diana, McNulty Cliodna
Public Health England, Gloucester GL1 1DQ, UK.
Health and Social Sciences, Frenchay Campus, University of the West of England, Bristol BS16 1QY, UK.
Antibiotics (Basel). 2021 Jan 16;10(1):83. doi: 10.3390/antibiotics10010083.
Urinary tract infections (UTIs) can be life threatening in older adults. The aim of this study was to primarily understand the acceptability and feasibility of using a UTI leaflet for older adults in care homes and the community. Qualitative interviews and focus groups informed by the Theoretical Domains Framework were conducted in 2019 with 93 participants from two English areas where a UTI leaflet for older adults had been introduced to improve self-care advice. Discussions were conducted with care staff (carers and nurses), older adults, general practice staff (GPs, nurses and health care assistants), and other relevant stakeholders and covered experiences of using the leaflet; its implementation; and barriers and facilitators to use. Participants deemed the leaflet an acceptable tool. Clinicians and care staff believed that having information in writing would reinforce their messages to older adults. Care staff reported that some older adults may find the information overwhelming. Where implemented, care staff used the leaflet as an educational guide. Clinicians requested the leaflet in electronic and paper formats to suit preferences. Implementation barriers included lack of awareness of the leaflet, lack of staffing and resource, and weak working relationships between care homes and general practices. It is recommended that regional strategies must include plans for dissemination to care homes, training, promotion and easy access to the leaflet. Improvements to the leaflet consisted of inclusion of antibiotic course length, D-mannose, atrophic vaginitis and replacement of less alarmist terminology such as 'life threatening'.
尿路感染（UTIs）在老年人中可能危及生命。本研究的目的主要是了解在养老院和社区中使用一份针对老年人的尿路感染宣传册的可接受性和可行性。2019年，依据理论领域框架进行了定性访谈和焦点小组讨论，来自英国两个地区的93名参与者参与其中，这两个地区已引入一份针对老年人的尿路感染宣传册以改进自我护理建议。与护理人员（护工和护士）、老年人、全科医疗人员（全科医生、护士和医疗保健助理）以及其他相关利益攸关方进行了讨论，内容涵盖宣传册的使用体验、其实施情况以及使用的障碍和促进因素。参与者认为该宣传册是一个可接受的工具。临床医生和护理人员认为书面信息会强化他们传达给老年人的信息。护理人员报告称，一些老年人可能觉得信息过多。在宣传册得到实施的地方，护理人员将其用作教育指南。临床医生要求提供电子版和纸质版宣传册以满足不同偏好。实施障碍包括对宣传册缺乏认识、人员配备和资源不足，以及养老院和全科医疗之间的工作关系薄弱。建议区域战略必须包括向养老院传播、培训、推广以及方便获取宣传册的计划。宣传册的改进包括纳入抗生素疗程时长、D - 甘露糖、萎缩性阴道炎，并替换诸如“危及生命”等较为耸人听闻的术语。
