针对抗生素治疗的行为改变干预措施在初级保健环境中寻求呼吸道感染的行为:一个范围审查协议
Anthony Maher1, Kevin Roche1, Eimear C Morrissey2
1School of Psychology, University of Galway, Galway, County Galway, Ireland.
HRB open research
|March 3, 2025
概括
本综述综合了关于在呼吸道感染中使用抗生素的行为改变干预措施的证据. 它旨在为管理患者期望和促进初级保健中适当的抗生素处方的策略提供信息.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 传染病管理 传染病管理
背景情况:
- 抗菌素耐药性 (AMR) 是一个重大的全球威胁,部分原因是患者对抗生素的需求.
- 管理公众对抗生素的期望,特别是对呼吸道感染 (RTIs),对于打击AMR至关重要.
- 行为改变干预可以改变患者的态度和与抗生素使用相关的行为.
研究的目的:
- 综合行为改变干预措施的证据,以解决初级保健中RTIs的抗生素治疗寻求行为.
- 确定使用的干预类型及其范围.
- 为适当使用抗生素的政策和实践提供信息.
主要方法:
- 使用了一个范围审查方法.
- 在多个数据库中进行了搜索,包括Medline,Embase,CINAHL,PsycINFO,Web of Science,Scopus和谷歌学者.
- 研究的重点是针对RTIs的初级/社区环境中的患者进行的干预,根据ICD-10标准进行分类.
主要成果:
- 该审查确定和分类了各种行为改变干预措施.
- 综合了关于改变患者对RTIs抗生素期望的干预措施的范围和类型的证据.
- 审查提供了当前解决患者驱动抗生素使用的方法的景观.
结论:
- 了解行为改变干预措施的证据基础对于开发有效的抗AMR策略至关重要.
- 本次审查强调需要继续研究和评估干预措施,以管理初级保健中的抗生素期望.
- 结果可以指导开发有针对性的干预措施,以促进适当的抗生素处方RTIs.
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