Division of Adult and Gerontological Nursing, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Division of Adult and Gerontological Nursing, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
BMJ Open. 2024 Nov 9;14(11):e090956. doi: 10.1136/bmjopen-2024-090956.
Antibiotic resistance poses a major global public health threat. However, research on this issue is limited, especially among nursing students. This study aims to examine knowledge of antibiotics and antibiotic resistance, antibiotic use, and eHealth literacy in Thailand.
A cross-sectional study was conducted using an online self-administered questionnaire. The WHO Antibiotic Resistance: Multi-Country Public Awareness Survey and the eHealth Literacy Scale were used. Descriptive and multiple regression analyses were performed.
Thailand's North, South, Central and Northeast between January and February 2024.
A total of 1180 nursing students aged 18 or older, from first to fourth year and fluent in Thai, were invited to participate.
The participants were mostly female (89.8%), with an average age of 20.64±1.81 years. Over half of the respondents (67.7%) have used antibiotics, mistakenly believing that antibiotics could treat colds and influenza (70.3%), malaria (66.8%), measles (63.6%) and sore throats (60.9%). About 71.5% recognised the impact of antibiotic resistance on themselves and their families, but 93.1% incorrectly believed antibiotic resistance means the body resists antibiotics. Participants scored 35.92±4.21 out of 40 on eHealth literacy. In a multiple regression analysis, three factors predict knowledge of antibiotic resistance: knowledge of antibiotics (B=0.199, p<0.001, 95% CI 0.165 to 0.234), eHealth literacy (B=0.078, p<0.001, 95% CI 0.056 to 0.100) and academic year (B=0.271, p<0.001, 95% CI 0.184 to 0.358), with knowledge of antibiotics being the most impact (β=0.318). These three variables explained 23.7% of the variance in antibiotic resistance knowledge scores.
Despite high eHealth literacy, nursing students hold misconceptions about antibiotic treatable conditions and insufficient knowledge of antibiotic resistance. This highlights the need to integrate antibiotic contents into nursing curricular and enhance eHealth literacy for better access and navigate health information.
抗生素耐药性对全球公共卫生构成重大威胁。然而，针对这一问题的研究相对较少，尤其是在护理学生中。本研究旨在考察泰国护理学生对抗生素和抗生素耐药性的认识、抗生素使用情况以及电子健康素养。
使用在线自我管理问卷进行横断面研究。使用世界卫生组织抗生素耐药性：多国公众认识调查和电子健康素养量表。进行描述性和多元回归分析。
2024 年 1 月至 2 月期间，泰国北部、南部、中部和东北部。
邀请了 1180 名年龄在 18 岁或以上、第一至第四年且能流利使用泰语的护理学生参加。
参与者主要为女性（89.8%），平均年龄为 20.64±1.81 岁。超过一半的受访者（67.7%）曾使用过抗生素，他们错误地认为抗生素可以治疗感冒和流感（70.3%）、疟疾（66.8%）、麻疹（63.6%）和喉咙痛（60.9%）。约 71.5%的人认识到抗生素耐药性对自身和家人的影响，但 93.1%的人错误地认为抗生素耐药性意味着身体对抗生素产生抵抗。参与者在电子健康素养方面的得分为 35.92±4.21 分（满分 40 分）。多元回归分析表明，有三个因素可以预测对抗生素耐药性的认识：对抗生素的认识（B=0.199，p<0.001，95%置信区间 0.165 至 0.234）、电子健康素养（B=0.078，p<0.001，95%置信区间 0.056 至 0.100）和学年（B=0.271，p<0.001，95%置信区间 0.184 至 0.358），对抗生素的认识影响最大（β=0.318）。这三个变量可以解释对抗生素耐药性知识评分中 23.7%的差异。
尽管电子健康素养较高，但护理学生对抗生素可治疗的疾病存在误解，对抗生素耐药性的知识也不足。这突出表明需要将抗生素内容纳入护理课程，并增强电子健康素养，以便更好地获取和浏览健康信息。
