关于在挪威一般实践中针对急性鼻炎的抗生素处方的决定. 一个定性焦点小组研究研究
Jorunn Thaulow1, Torunn Bjerve Eide1, Sigurd Høye1
1Department of General Practice, Institute of Health and Society, Antibiotic Centre for Primary Care, University of Oslo, Oslo, Norway.
挪威的全科医生经常为急性鼻炎处方抗生素,偏离了指导方针. 决策受到患者症状和实际因素的影响,而不仅仅是临床证据.
科学领域:
- 一般的做法一般的做法
- 传染性疾病 传染性疾病
- 临床决策 - 临床决策
背景情况:
- 急性鼻炎是初级保健访问的常见原因.
- 大多数病例在不需要抗生素的情况下都会消失,但在挪威的全科医院中,有50%的患者接受抗生素治疗.
- 这种处方差异的原因尚未完全理解.
研究的目的:
- 调查挪威全科医生关于急性鼻炎抗生素处方的决策过程.
- 确定这些病例处方抗生素的根本原因.
主要方法:
- 对挪威各地的25名全科医生进行了5次重点小组采访.
- 在采访数据的定性分析中使用系统文本凝结.
主要成果:
- 在全科医生中观察到急性鼻炎的各种管理策略,抗生素处方往往不符合指南.
- 一般医生经常不同意挪威的抗生素指导方针,更喜欢替代氧甲青素的替代品.
- 关键的决定因素包括患者的疼痛和疲劳,以及实用因素,如预约安排和患者负担.
结论:
- 一般医生很难确定什么时候抗生素治疗对急性鼻炎患者有好处.
- 疼痛严重程度成为处方决定的重要因素,尽管关于疼痛管理的指南建议不足.
- 建议重新评估当前的抗生素指南,并将其传达给全科医生.
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