在老年护理机构的抗生素使用中,分配正义和价值权衡
Jane Williams1,2, Sittichoke Chawraingern3, Chris Degeling3
1Australian Centre for Health Engagement, Evidence and Values (ACHEEV), School of Health and Society, University of Wollongong, Wollongong, Australia. williamsj@uow.edu.au.
Monash bioethics review
|July 11, 2024
概括
在老年护理机构的家庭面临关于使用抗生素的困难选择,平衡个人舒适与更广泛的问题抗菌素耐药性 (AMR). 在这些环境中,抗菌药物管理 (AMS) 需要仔细考虑这些复杂的值.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 澳大利亚的住宅老年护理设施 (RACF) 呈现出高抗生素消费.
- 在RACF中不适当使用抗微生物药物加剧了抗微生物耐药性 (AMR) 的负担.
- 抗微生物管理 (AMS) 计划旨在减少RACF中非必要的抗生素使用.
研究的目的:
- 在RACF中探索家庭成员对抗生素使用和护理的观点.
- 了解家庭在决定居民抗生素治疗时考虑的价值权衡.
主要方法:
- 使用对话小组进行的定性研究.
- 参与了46名参与者,他们的父母接受老年护理.
主要成果:
- 参与者优先考虑了个人立即的舒适,而不是对更广泛的人口的潜在未来伤害.
- 家庭承认抗生素对于RACF的护理功能的必要性,但也认识到AMR的紧张关系.
- 由于AMS内部的系统问题,人们认为护理人员 (工人和家庭) 承担的道德负担被确定.
结论:
- 在RACF中的AMS涉及复杂的价值权衡,平衡个人需求与对抗药物耐药性的集体责任.
- 目前的AMS方法可能无法完全解决老年护理的关系和社会结构复杂性.
- 解决系统性失败至关重要,以防止RACF环境中护理人员的道德负担过重.
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