病人和公众对抗菌药耐药性的理解:系统回顾和元人种学。

IF 3.7 Q2 INFECTIOUS DISEASES
JAC-Antimicrobial Resistance Pub Date : 2024-08-07 eCollection Date: 2024-08-01 DOI:10.1093/jacamr/dlae117
Gosha Wojcik, Janyne Afseth, Ross Fagan, Fiona Thomson, Nicola Ring
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引用次数: 0

摘要

目标:通过识别和综合主要定性研究,建立一个概念模型,进一步了解非专业人士(成年患者和公众)对抗菌药物耐药性(AMR)的信念和态度:对 12 个电子数据库(包括 CINAHL、MEDLINE、PsycINFO、PubMed 和 Web of Science)进行了系统检索,以确定 2012 年至 2022 年间发表的、探讨患者和公众对 AMR 理解的主要定性研究。采用 Noblit 和 Hare 的元人种学方法对纳入的研究进行质量评估和综合,并使用 eMERGe 指南进行报告:综合了 13 篇报告 12 项定性研究的论文。这些研究报告了来自 466 名 18-90 岁参与者的数据。从这些原始研究中确定了五个主题:负责任的患者;当语言变得毫无意义时;患者与处方医生的关系;过去的经验促使抗生素的使用;以及重塑公众认知。这些主题支持了一个概念模型的开发,该模型说明了两种不同假设之间的紧张关系,即如何在平衡个体患者迫切需求的同时,将抗生素用于集体利益:研究结果表明,AMR 是一个独特的伦理问题,不应被视为单纯的处方问题。元人种学研究生成的概念模型说明了影响公众对 AMR 认识的诸多因素。这些因素包括非专业人士自身对抗生素使用的知识、信仰和态度,与医疗服务提供者的关系以及更广泛的背景,包括媒体和公共卫生运动的巨大影响。未来的研究需要探索有效的健康信息传播策略,以提高非专业人士对 AMR 这一公共威胁的基本认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient and public understanding of antimicrobial resistance: a systematic review and meta-ethnography.

Objectives: To further develop an understanding of laypeople's (adult patients and public) beliefs and attitudes toward antimicrobial resistance (AMR) by developing a conceptual model derived from identifying and synthesizing primary qualitative research.

Methods: A systematic search of 12 electronic databases, including CINAHL, MEDLINE, PsycINFO, PubMed and Web of Science to identify qualitative primary studies exploring patient and public understanding of AMR published between 2012 and 2022. Included studies were quality appraised and synthesized using Noblit and Hare's meta-ethnographic approach and reported using eMERGe guidance.

Results: Thirteen papers reporting 12 qualitative studies were synthesized. Studies reported data from 466 participants aged 18-90 years. Five themes were identified from these original studies: the responsible patient; when words become meaningless; patient-prescriber relationship; past experience drives antibiotic use; and reframing public perception. These themes supported the development of a conceptual model that illustrates the tension between two different assumptions, that is, how can antibiotics be used for the collective good whilst balancing the immediate needs of individual patients.

Conclusions: Findings suggest that AMR is a distinct ethical issue and should not be viewed purely as a prescribing problem. The meta-ethnography-generated conceptual model illustrates many factors affecting the public's perception of AMR. These include laypeople's own knowledge, beliefs and attitudes around antibiotic use, the relationship with the healthcare provider and the wider context, including the overwhelming influence of the media and public health campaigns. Future research is needed to explore effective health messaging strategies to increase laypeople's baseline awareness of AMR as a public threat.

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来源期刊
CiteScore
5.30
自引率
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