消费者对养老院抗生素使用的看法:混合方法系统综述。

IF 3.8 3区 医学 Q2 INFECTIOUS DISEASES
Rajendra Gyawali, Sarah Gamboa, Kathleen Rolfe, Johanna I Westbrook, Magdalena Z Raban
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引用次数: 0

摘要

目的:老年护理人员和医生经常强调消费者在抗生素治疗决策中的作用。然而,很少有研究将消费者包括在内。本研究旨在调查消费者对养老院抗生素使用的看法:方法:在六个在线数据库中搜索了 3373 项研究,其中五项符合纳入标准。对所纳入研究中的参与者引语、主题、统计分析和作者的解释性总结进行了归纳编码和提炼,以产生主题:结果发现了三个主题:对抗生素益处和风险的认知;在抗生素治疗决策中的角色认知以及信息交流需求。消费者对抗生素持积极态度,不认为抗生素是治疗细菌感染的唯一药物,对抗生素耐药性等潜在风险的认识有限。研究显示,居民及其家人对参与抗生素治疗决策的看法各不相同,有些居民积极寻求抗生素,有些则相信医生的决定。研究还描述了消费者对医疗服务提供者与消费者之间有效沟通和信息共享的需求,这种需求受到环境障碍的影响,如动机、偏好、可用信息资源和医疗服务提供者的态度:有关消费者对老年护理中抗生素使用的看法的文献有限。综述强调,消费者的需求比单纯想要抗生素更为复杂。抗菌药物管理计划应针对消费者的意识、信仰以及提供者与消费者之间的沟通,以提高老年护理中抗生素的使用率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Consumer perspectives on antibiotic use in residential aged care: A mixed-methods systematic review.

Background: Aged care staff and doctors frequently highlight consumers' role in antibiotic treatment decisions. However, few studies include consumers. This study aimed to investigate consumer perspectives on antibiotic use in residential aged care.

Methods: A search across 6 online databases yielded 3,373 studies, with 5 meeting inclusion criteria. Participant quotes, themes, statistical analyses, and authors' interpretive summaries in the included studies were inductively coded and refined to generate themes.

Results: Three themes emerged: perception of benefits and risks of antibiotics, perceived role in antibiotic treatment decision-making, and information-communication needs. Consumers held positive attitudes toward antibiotics, did not associate antibiotics with the exclusive treatment of bacterial infections, and had limited awareness of potential risks, such as antibiotic resistance. Studies showed diverse perceptions regarding residents' and their families' involvement in antibiotic treatment decision-making with some residents actively seeking antibiotics and others trusting doctors to decide. Studies also described consumer need for effective provider-consumer communication and information sharing that was affected by contextual barriers such as motivation, preferences, available information resources, and provider attitudes.

Conclusions: Limited literature is available on consumer perspectives on antibiotic use in aged care. The review highlights that consumer needs are more complex than simply wanting an antibiotic. Antimicrobial stewardship programs should target consumer awareness, beliefs, and provider-consumer communication to enhance antibiotic use in aged care.

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来源期刊
CiteScore
7.40
自引率
4.10%
发文量
479
审稿时长
24 days
期刊介绍: AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)
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