通过利用通过教育患者 (STEP) 的管理来实现抗生素管理吗? 一个过程?
Kathy L Havlicek1, Ahmed Muhsin2
1Family Medicine, Oceania University of Medicine, Apia, WSM.
Cureus
|November 30, 2023
概括
对适当使用抗生素的患者教育,结合临床医生的干预,有效地减少了对常见疾病的抗生素处方. 这种方法也导致了较高的患者满意度,证明了抗菌药物管理的成功策略.
科学领域:
- 医学教育 医学教育
- 抗微生物药物管理委员会
- 公共卫生 公共卫生
背景情况:
- 尽管努力打击细菌耐药性,但抗生素的过度处方仍然存在,这通常是由患者的期望驱动的.
- 通过教育患者 (STEP) 的管理. 该计划旨在通过患者教育来解决这一问题.
- 像感冒,鼻炎和支气管炎这样的常见疾病经常是病毒性的,但通常是用抗生素治疗的.
研究的目的:
- 评估提供者患者教育与患者满意度之间的关联.
- 评估 S.T.E.P. 的影响. 在随后的患者行为上关于抗生素处方的过程.
- 促进抗生素使用的积极处方变化.
主要方法:
- 进行了一项质量改善 (QI) 干预研究.
- 干预措施包括面对面的患者教育和来自疾病控制和预防中心 (CDC) 的印刷材料.
- 该研究采集了40名医院医疗保健诊所的医院员工样本,将抗生素处方作为主要结果和患者满意度作为次要结果进行测量.
主要成果:
- 患者教育,包括CDC材料,有效减少了抗生素处方.
- 这些干预措施在95%的参与者中产生了积极的患者满意度.
- 这突显了患者教育和临床医生干预的结合效果.
结论:
- 对于常见的成人疾病 (感冒,鼻炎,支气管炎) 的抗生素使用可以安全地减少.
- 患者教育和临床干预的结合是减少不必要的抗生素处方的可行策略.
- 这种方法支持抗菌药物管理,并打击抗生素耐药性.
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