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初级卫生保健中的护理措施,以应对患有尿路感染的孕妇的抗菌药物耐药性问题。

Nursing care in primary health care to tackle antimicrobial resistance in pregnant women with urinary tract infections.

作者信息

Figueiredo Jamile Leite de, Padoveze Maria Clara

机构信息

Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.

Einstein Hospital Israelita, São Paulo, SP, Brazil.

出版信息

Rev Esc Enferm USP. 2025 Sep 8;59:e20250001. doi: 10.1590/1980-220X-REEUSP-2025-0001en. eCollection 2025.

Abstract

OBJECTIVE

To identify pregnant women with urinary tract infections who are being monitored at a primary health care unit and their knowledge about antibiotics, as well as facilitating and challenging factors perceived by nurses that influence care, with a focus on antimicrobial resistance.

METHOD

Exploratory, descriptive study with a quantitative approach, involving pregnant women with urinary tract infections undergoing antibiotic treatment at a municipal health unit in São Paulo and nurses working at the same location. Data were obtained from computerized systems, medical records, and interviews, and were synthesized and analyzed using Microsoft Excel and Stata software.

RESULTS

Of the 21 pregnant women included, 85.7% had knowledge about antibiotics. Of the 11 participating nurses, 36.4% did not identify the presence of facilitators, but 45.5% believed there were barriers to their care.

FINAL CONSIDERATIONS

Most pregnant women had basic knowledge about antibiotics and recognized the importance of guidance from nurses. Nurses identified barriers that point to the need for technical support. Developing a care booklet for nurses who care for pregnant women with urinary tract infections may be a promising strategy to optimize treatment and prevent antimicrobial resistance.

摘要

目的

识别在初级卫生保健单位接受监测的患有尿路感染的孕妇及其对抗生素的了解情况,以及护士所感知的影响护理的促进因素和挑战因素,重点关注抗菌药物耐药性。

方法

采用定量方法进行探索性描述性研究,涉及在圣保罗市一家卫生单位接受抗生素治疗的患有尿路感染的孕妇以及在同一地点工作的护士。数据从计算机系统、病历和访谈中获取,并使用Microsoft Excel和Stata软件进行综合分析。

结果

在纳入的21名孕妇中,85.7%对抗生素有了解。在参与的11名护士中,36.4%未识别出促进因素的存在,但45.5%认为在护理过程中存在障碍。

最终思考

大多数孕妇对抗生素有基本了解,并认识到护士指导的重要性。护士识别出了表明需要技术支持的障碍。为照顾患有尿路感染孕妇的护士编写一本护理手册可能是优化治疗和预防抗菌药物耐药性的一个有前景的策略。

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本文引用的文献

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Brazilian Nurses Network Tackling the Antimicrobial Resistance (REBRAN): bringing the role of nurses from the shadow to the light.
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Experiences of antibiotic use among Brazilian healthcare users: An exploratory study.
Health Expect. 2023 Feb;26(1):343-354. doi: 10.1111/hex.13664. Epub 2022 Nov 24.
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Analysis of antimicrobial prescriptions in Primary Healthcare.
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