Herawati Fauna, Yulia Rika, Arifin Bustanul, Frasetyo Ikhwan, Woerdenbag Herman J, Avanti Christina, Andrajati Retnosari
Department of Clinical and Community Pharmacy, Faculty of Pharmacy, Universitas Surabaya, Surabaya 60293, Indonesia.
Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Indonesia, Depok 16424, Indonesia.
Antibiotics (Basel). 2021 May 20;10(5):606. doi: 10.3390/antibiotics10050606.
The inappropriate use or misuse of antibiotics, particularly by outpatients, increases antibiotic resistance. A lack of public knowledge about "Responsible use of antibiotics" and "How to obtain antibiotics" is a major cause of this. This study aimed to assess the effectiveness of an educational video about antibiotics and antibiotic use to increase outpatients' knowledge shown in two public hospitals in East Java, Indonesia. A quasi-experimental research setting was used with a one-group pre-test-post-test design, carried out from November 2018 to January 2019. The study population consisted of outpatients to whom antibiotics were prescribed. Participants were selected using a purposive sampling technique; 98 outpatients at MZ General Hospital in the S regency and 96 at SG General Hospital in the L regency were included. A questionnaire was used to measure the respondents' knowledge, and consisted of five domains, i.e., the definition of infections and antibiotics, obtaining the antibiotics, directions for use, storage instructions, and antibiotic resistance. The knowledge test score was the total score of the Guttman scale (a dichotomous "yes" or "no" answer). To determine the significance of the difference in knowledge before and after providing the educational video and in the knowledge score between hospitals, the (paired) Student's -test was applied. The educational videos significantly improved outpatients' knowledge, which increased by 41% in MZ General Hospital, and by 42% in SG General Hospital. It was concluded that an educational video provides a useful method to improve the knowledge of the outpatients regarding antibiotics.
抗生素的不当使用或滥用，尤其是门诊患者的此类行为，会增加抗生素耐药性。公众缺乏关于“合理使用抗生素”和“如何获取抗生素”的知识是造成这一现象的主要原因。本研究旨在评估一部关于抗生素及抗生素使用的教育视频在提高印度尼西亚东爪哇两所公立医院门诊患者知识水平方面的效果。采用了类实验研究设置，采用单组前后测设计，于2018年11月至2019年1月开展。研究人群包括被开具抗生素处方的门诊患者。采用立意抽样技术选取参与者；纳入了S摄政区MZ综合医院的98名门诊患者和L摄政区SG综合医院的96名门诊患者。使用一份问卷来衡量受访者的知识水平，问卷由五个领域组成，即感染和抗生素的定义、获取抗生素、使用说明、储存说明以及抗生素耐药性。知识测试分数是古特曼量表（二分制的“是”或“否”答案）的总分。为了确定提供教育视频前后知识差异以及医院之间知识分数差异的显著性，应用了（配对）学生t检验。教育视频显著提高了门诊患者的知识水平，MZ综合医院提高了41%，SG综合医院提高了42%。得出的结论是，教育视频是提高门诊患者抗生素知识的一种有用方法。
