感染科就诊患者对抗生素认知和使用情况的调查  

Investigation on the Cognition and Use of Antibiotics Among Patients in the Department of Infection

作　　者：冯新霞[1] 王蕾[1] 李长安[1] FENG Xinxia;WANG Lei;LI Changan(Department of Infectious Diseases,the Third Affiliated Hospital of Xinxiang Medical College,Xinxiang,Henan Province 453000 China)

机构地区：[1]新乡医学院第三附属医院感染性疾病科,河南新乡453000

出　　处：《中国药物滥用防治杂志》2021年第3期390-393,共4页Chinese Journal of Drug Abuse Prevention and Treatment

摘　　要：目的:探讨该院感染科患者对抗生素的认知水平及使用情况现状。方法:选取2015年4月—2020年5月该院感染科就诊患者852例,采用基线资料调查表、自制抗生素认知和使用情况调查问卷,比较不同性别、不同年龄、不同文化程度、不同感染部位、不同居住地患者的认知及使用情况差异。结果:852例患者的自制抗生素认知及使用问卷总评分为(75.73±11.95)分,其中超过90分比例为88.50%(754/852)、低于60分比例为11.15%(95/852);女性、青年及老年、城市患者均较男性、中年、农村患者的对抗生素的认知水平更高,差异有统计学意义(P<0.05);不同感染部位及文化程度对抗生素的认知水平间差异无统计学意义(P>0.05);预防性应用、医院处方购买、应用频次低、用药依从性高、按需购买的合理使用率更高,差异有统计学意义(P<0.05)。结论:感染科患者对抗生素认知情况处于中等偏上水平,但部分患者对抗生素相关知识认知力不足,仍存在自行购买,不遵医嘱情况,仍需强化抗生素相关知识宣教,规范诊疗行为。Objective: To explore the current status of the cognition level and use of antibiotics in the infection department of the hospital. Methods: A total of 852 patients in the Department of Infectious Diseases of the hospital from April 2015 to May 2020 were selected. Baseline data questionnaires, self-made antibiotic cognition and use questionnaires were used to compare different genders, different ages, different education levels, and different infection sites, differences in cognition and usage of patients in different places of residence, and analyze the reasons for the abuse of antibiotics by patients. Results: The total score of the self-made antibiotic cognition and use questionnaire of 852 patients was(75.73±11.95) points, of which the proportion of more than 90 points was 88.50%(754/852), and the proportion of less than 60 points was 11.15%(95/852);Female, young, elderly, and urban patients all had higher levels of awareness of antibiotics than men, middle-aged, and rural patients, and the difference was statistically significant(P<0.05);different infection sites and educational levels of awareness of antibiotics had no statistically significant difference(P>0.05);preventive application, hospital prescription purchase, low application frequency, high medication compliance, higher rational use rate of on-demand purchase, the difference was statistically significant(P<0.05). Conclusion: The cognition of antibiotics in the department of infectious diseases is in the upper-middle level, but some patients have insufficient cognition of antibiotics-related knowledge. They still buy by themselves and do not follow the doctor’s advice. It is still necessary to strengthen the education of antibiotics-related knowledge and standardize diagnosis and treatment behaviors.

关 键 词：感染科 抗生素 认知 细菌耐药 

分 类 号：R978.1[医药卫生—药品]