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醫院病人接受抗生素團體衛生教育成效之評估

Evaluation of the Effect of an Antibiotic Use Education Program for Hospital Patients

摘要


Several researchers have suggested that antibiotic overuse has happened frequently in Taiwan hospitals over the past two decades. The question of how to decrease the incidence of antibiotics overuse has concerned the Taiwan government and also the governments of other countries. The purpose of this study was to evaluate the effect of changes in outpatients’ concepts of antibiotics use after a health education quality improvement program. The subjects were made up of 466 outpatients from 9 different hospitals in Taiwan, and they were asked to complete a questionnaire containing 15 questions. After the completion of health education activities at outpatient services, the scores obtained from the survey had increased from 9.5 to 13.8 points, which was statistically significant by Paired-Sample t-test. Factor analysis was carried out to evaluate the influence of various aspects of the program including health care concepts, effects of antibiotics, following the doctor's instructions, and antibiotic use habits. A significant influence was detected for effects of antibiotics, but there was little influence from antibiotic use habits. According to our study, outpatients use common sense when taking antibiotics, but this is not always correct. In order to increase their knowledge of antibiotics and to decrease the incidence of antibiotic overuse in Taiwan, we suggest that, in the future, there should be augmentation of health education aimed at outpatients, and restraints placed on the use of antibiotics by health care workers.

關鍵字

抗生素 團體衛教

並列摘要


Several researchers have suggested that antibiotic overuse has happened frequently in Taiwan hospitals over the past two decades. The question of how to decrease the incidence of antibiotics overuse has concerned the Taiwan government and also the governments of other countries. The purpose of this study was to evaluate the effect of changes in outpatients’ concepts of antibiotics use after a health education quality improvement program. The subjects were made up of 466 outpatients from 9 different hospitals in Taiwan, and they were asked to complete a questionnaire containing 15 questions. After the completion of health education activities at outpatient services, the scores obtained from the survey had increased from 9.5 to 13.8 points, which was statistically significant by Paired-Sample t-test. Factor analysis was carried out to evaluate the influence of various aspects of the program including health care concepts, effects of antibiotics, following the doctor's instructions, and antibiotic use habits. A significant influence was detected for effects of antibiotics, but there was little influence from antibiotic use habits. According to our study, outpatients use common sense when taking antibiotics, but this is not always correct. In order to increase their knowledge of antibiotics and to decrease the incidence of antibiotic overuse in Taiwan, we suggest that, in the future, there should be augmentation of health education aimed at outpatients, and restraints placed on the use of antibiotics by health care workers.

參考文獻


Collett, C.A.,Pappas, D.E.,Evans, B.A.,Hayden, G.F.(1999).Parental knowledge about common respiratory infections and antibiotic therapy in children.Southern Medical Journal.92(10),971-976.
Mangione-Smith, R,McGlynn, E.A.,Effiott, M.N.,Krogstad, P.,Brook RH.(1999).The relationship between perceived parental expectations and pediatrician antimicrobial prescribing behavior.Pediatrics.103(4Pt1),711-718.
Palmer, D.A.,Bauchner, H.(1997).Parents` and physicians` views on antibiotics.Pediatrics.99(6),E6.
Stewart, D.W,Shamdasani, P.N.(1992).Focus groups: theory and practice.London:Sage.
Tang, K. C.,Davis, A.(1995).Critical Factors in the determination of focus group size.Family Practice.12(4),474-475.

被引用紀錄


陳宜君、呂學重、吳淑芳、吳彥穆、王采芷(2015)。急性感染病人抗生素服藥遵從性及其影響因素之研究護理雜誌62(1),58-67。https://doi.org/10.6224%2fJN.62.1.58

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