中国护理专业学生对抗生素使用及抗菌药物耐药性的知识、态度和行为：一项横断面研究
Knowledge, Attitude, and Practice About Antibiotic Use and Antimicrobial Resistance Among Nursing Students in China: A Cross Sectional Study.
作者信息
Yang Chaoping, Xie Jing, Chen Qianjun, Yuan Qiongyin, Shang Jianping, Wu Haibo, Yang Youhua, Wang Mingfang, Shu Xiaolan, Yue Jing, Tu Danna, Lin Ying, Zheng Ronghao, Wu Xiaolin
机构信息
Nursing Department, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
Department of Pediatric Nephrology, Rheumatology, and Immunology, Maternal and Child Health Hospital of Hubei Province, Hubei University of Medicine, Shiyan, Hubei, People's Republic of China.
出版信息
Infect Drug Resist. 2024 Mar 19;17:1085-1098. doi: 10.2147/IDR.S454489. eCollection 2024.
PURPOSE
The knowledge, attitude, and practices (KAP) concerning antibiotics by healthcare students have the potential impact on controlling antibiotic abuse and antimicrobial resistance (AMR) growth. This study aims to evaluate the levels and explore the associated factors with KAP on antibiotic use and AMR in Chinese nursing students.
METHODS
A cross-sectional survey using a self-administered questionnaire consisting of demographics and selected features and KAP on antibiotic use and AMR was conducted to measure KAP levels among nursing students at various universities in Hubei Province, China. The logistic regression analyses were performed to analyze the potential factors associated with the KAP.
RESULTS
The survey eventually included a total of 1959 nursing students. The mean scores for KAP were 57.89 ±26.32, 55.00 ±12.50, and 71.88 ±15.63, respectively. Regarding knowledge, 54.3% of participants were unaware that antibiotic was ineffective against viral infections. Regarding attitude, 36% of participants agreed that current antibiotic abuse existed; 96.2% of participants thought it necessary to set up a special course on antibiotics. Regarding practice, only 48.4% of participants usually purchased antibiotics with a prescription. Multivariable analyses indicated that lack of discussion on AMR in school courses was an independent risk factor against KAP, respectively. The main knowledge sources of antibiotic being outside the classroom was an independent risk factor related to knowledge and practice. The average score >80 points was an independent protective factor related to knowledge and practice.
CONCLUSION
The KAP level on antibiotic use and AMR among Hubei nursing students was general and required further strengthening. Nursing students with risk factors should be prioritized in educational interventions. The findings of our study pointed out some directions for tailored interventions to improve the training on antibiotics.
目的
医学生对抗生素的知识、态度和行为（KAP）对控制抗生素滥用和抗菌药物耐药性（AMR）增长具有潜在影响。本研究旨在评估中国护理专业学生在抗生素使用和AMR方面的KAP水平，并探讨相关因素。
方法
采用自填式问卷进行横断面调查，问卷包括人口统计学和选定特征以及抗生素使用和AMR的KAP，以测量中国湖北省各高校护理专业学生的KAP水平。进行逻辑回归分析以分析与KAP相关的潜在因素。
结果
该调查最终共纳入1959名护理专业学生。KAP的平均得分分别为57.89±26.32、55.00±12.50和71.88±15.63。在知识方面，54.3%的参与者不知道抗生素对病毒感染无效。在态度方面，36%的参与者同意当前存在抗生素滥用现象；96.2%的参与者认为有必要开设抗生素专门课程。在行为方面，只有48.4%的参与者通常凭处方购买抗生素。多变量分析表明，学校课程中缺乏关于AMR的讨论分别是KAP的独立危险因素。抗生素的主要知识来源在课堂之外是与知识和行为相关的独立危险因素。平均得分>80分是与知识和行为相关的独立保护因素。
结论
湖北护理专业学生在抗生素使用和AMR方面的KAP水平一般，需要进一步加强。在教育干预中应优先考虑具有危险因素的护理专业学生。我们的研究结果为改进抗生素培训的针对性干预措施指出了一些方向。
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