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兽医专业学生低估了猫和狗主人在抗菌药物使用及耐药性方面的依从性和知识水平。

Veterinary Students Underestimate Cat and Dog Owner Adherence and Knowledge Regarding Antimicrobial Use and Resistance.

作者信息

Frey Erin, Kedrowicz April, Hedgpeth Mari-Wells

机构信息

Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607, USA.

出版信息

J Vet Med Educ. 2024 Dec;51(6):844-854. doi: 10.3138/jvme-2023-0129. Epub 2023 Dec 5.

Abstract

The purpose of this study was to explore students' perceptions related to cat and dog owners' (a) knowledge of antibiotics and antimicrobial resistance, (b) expectations and preferences related to antibiotic use, and (c) preferences and experiences related to veterinarian-client communication preferences and experiences. This project compared students' responses to those provided by cat and dog owners in a previous study. Because that prior research suggested that students' perceptions can shift over time, we also explored whether progression throughout the DVM curriculum impacted students' views of cat and dog owners. DVM students ( = 584) from seven schools in the Southeastern Veterinary Education Consortium completed an online survey based on prior research of cat and dog owner behavior and preferences. Results indicate that DVM students overestimate cat and dog owner's expectations for antibiotics and underestimate cat and dog owners' adherence to veterinary directions for antibiotic use. Similarly, fewer DVM students than cat and dog owners agreed that veterinary communication about antibiotics, their side effects, and their cost occurs during visits with a sick pet. Where significant, more students in later DVM class years had a positive view about client knowledge/adherence and veterinary communication. This lack of confidence in clients' knowledge and competence and in the quality of veterinarian-client communication indicates a need to educate students on their perceptions of veterinary-client communications, as well as reinforcing that clients generally listen and trust veterinarians' recommendations regarding antimicrobial prescribing and stewardship.

摘要

本研究的目的是探讨学生对猫和狗主人的看法,具体涉及:(a) 对抗生素和抗菌药物耐药性的了解;(b) 与抗生素使用相关的期望和偏好;以及 (c) 与兽医 - 客户沟通偏好和经历相关的偏好和体验。本项目将学生的回答与之前一项研究中猫和狗主人的回答进行了比较。由于之前的研究表明学生的看法可能会随时间变化,我们还探讨了在兽医学课程中的学习进程是否会影响学生对猫和狗主人的看法。来自东南兽医教育联盟七所学校的584名兽医学学生(DVM)基于之前对猫和狗主人行为及偏好的研究完成了一项在线调查。结果表明,兽医学学生高估了猫和狗主人对抗生素的期望,低估了猫和狗主人对兽医抗生素使用指导的依从性。同样,与猫和狗主人相比,较少有兽医学学生认同在带着生病宠物就诊时会进行关于抗生素及其副作用和费用的兽医沟通。在有显著差异的方面,更高年级的兽医学学生对客户知识/依从性和兽医沟通持更积极的看法。对客户知识和能力以及兽医 - 客户沟通质量缺乏信心,表明有必要就学生对兽医 - 客户沟通的看法对他们进行教育,并强化客户通常会听取并信任兽医关于抗菌药物处方和管理的建议。

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