调查提高高危族群抗生素合理使用的方法。

Hawaii medical journal Pub Date : 2010-11-01
Dana L Alden, Alan D Tice, John T Berthiaume
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引用次数: 0

摘要

一项带有后续调查的实地研究旨在:确定在亚裔美国人和夏威夷/太平洋岛民比例较高的患者群体中,冷敷(非处方对症治疗)与办公室教育相结合,是否比单独进行办公室教育更能改善抗生素相关知识、态度和行为;2. 确定参与实地研究的医生所描述的干预结果的可能原因;和3。探索潜在的未来方向基于一个大样本调查的医生在实地研究的高度民族县。干预导致咨询前后感知需求的减少和对抗生素风险知识的增加,但对报告收到抗生素处方的频率没有影响。出乎意料的是,在增加知识方面,单独的办公室教育比办公室教育加冷敷更有效。对现场研究医生的深入访谈和一项大规模的医生调查表明,针对亚裔美国人和夏威夷/太平洋岛民比例较高的患者群体的冷敷干预,如果伴随着关于风险的大规模公众教育和关于与患者交谈的有效方法的医生培训,可能更有可能成功。仅使用冷敷袋进行办公室教育可能达不到预期的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigating approaches to improving appropriate antibiotic use among higher risk ethnic groups.

A field study with follow up investigations sought to: 1. determine whether cold packs (over-the-counter symptomtic treatments), coupled with in-office education, improve antibiotic-related knowledge, attitudes and behaviors more than in-office education alone in patient populations with high percentages of Asian Americans and Hawaiian/Pacific Islanders; 2. identify possible reasons for intervention outcomes as described by physicians who participated in the field study; and 3. explore potential future directions based on a large sample survey of physicians in the field study's highly ethnic county. The intervention resulted in a pre- to post-consultation decrease in perceived need for and an increase in knowledge about antibiotic risks but had no impact on frequency of reported receipt of an antibiotic prescription. Unexpectedly, in-office education alone was more effective in increasing knowledge than in-office education plus the cold pack. In-depth interviews of field study physicians and a large scale physician survey suggest that cold pack interventions targeting patient populations with high percentages of Asian Americans and Hawaiian/Pacific Islanders may be more likely to succeed if accompanied by mass public education regarding risks and physician training regarding effective ways to talk to patients. Use of in-office education with cold packs alone may not achieve desired results.

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