老年人和护理人员对尿路感染和无症状细菌的看法指南:定性探索
Michael J Durkin1, Viktoria Schmitz2, Kevin Hsueh1
1Division of Infectious Diseases, Department of Internal Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|December 29, 2023
概括
老年人和护理人员经常误解无症状细菌性尿症 (ASB) 和适当的抗生素使用,优先考虑个人利益而不是公共健康. 教育应该解决患者的担忧,并在访问后提供明确的信息.
科学领域:
- 老年学是指老年学的学科.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 尿路感染 (UTI) 在老年人中很常见.
- 适当的抗生素使用对于对抗抗生素耐药性至关重要.
- 了解患者和护理人员的看法是遵守指南的关键.
研究的目的:
- 探索老年人和护理人员关于尿液中的细菌抗生素使用指南的知识和看法.
- 为了确定障碍物和促进者,以适当的抗生素在这个人群中的使用.
主要方法:
- 与30名参与者 (21名患者,9名护理人员) 进行了半结构化的定性访谈.
- 采访以COM-B行为改变框架为指导.
- 对采访成绩单进行了主题分析.
主要成果:
- 参与者了解尿路感染症状,但对无症状细菌性尿症 (ASB) 缺乏清晰度.
- 对临床医生的解雇和对ASB抗生素的感知益处的担忧是常见的.
- 对抗生素耐药性对公共卫生影响的认识很小.
结论:
- 干预措施应解决患者的担忧,并提供明确的教育材料.
- 标准化的信息可以提高对ASB的理解和适当的抗生素使用.
- 临床医生与患者之间的沟通对于遵守指南至关重要.
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