使用COM-B框架在第三手术后修改抗生素处方行为
Chee Weng Yong1, Ruth Choe1, Sarah Kho Xian Chua1
1National University Centre for Oral Health Singapore, Singapore.
Annals of the Academy of Medicine, Singapore
|July 10, 2025
概括
抗生素管理干预措施显著减少了第三手术后不必要的抗生素处方. 这种方法改善了对指导方针的遵守,而不增加并发症率,有助于打击抗菌素耐药性.
科学领域:
- 在口腔外科手术.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 抗菌素耐药性 (AMR) 是一个主要的全球卫生危机.
- 对所有医疗保健专业人员来说,抗生素管理至关重要.
- 牙医经常在第三手术 (3M) 后不必要地开处方预防性抗生素.
研究的目的:
- 在口腔和面外科手术中识别抗生素处方的行为障碍.
- 根据COM-B框架实施干预措施,以解决这些障碍.
主要方法:
- 在口腔和面外科的部门进行了一项混合方法的研究.
- 该COM-B (能力,机会,行为动机) 模型指导干预设计.
- 干预前后的数据收集了六个月的时间.
主要成果:
- 抗生素处方显著下降,从84.45%降至20.89% (P<0.001).
- 临床医生报告说,积极的态度转向减少抗生素使用.
- 没有观察到并发症率的增加.
结论:
- 该COM-B模型有效地修改了根深蒂固的处方习惯.
- 行为干预增强了对抗生素管理指南的遵守.
- 持续的举措对于在临床实践中对抗AMR至关重要.
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