WONCA研究论文摘要汇编——家长对全科医生应用抗生素治疗急性呼吸道感染患儿的效果期望及实际治疗情况的调查研究

发布时间：2018-11-12 11:40

【摘要】：目的全科医生常用抗生素治疗急性呼吸道感染患儿,尽管抗生素对普通的急性呼吸道感染益处不大,而且会带来对抗生素产生耐药性等危害。家长经常因为要求全科医生给患儿开抗生素而被指责。本研究旨在调查家长对使用抗生素治疗患儿的必要性的看法,量化他们对使用抗生素获益的期望,报道使用其他方式治疗本病患儿的经验,报道参与及共同做出决策偏好。方法本研究采用计算机辅助电话采访法。研究对象选自通过随机拨打家庭固定电话联系的澳大利亚多个社区中1~12岁儿童的主要照看者(家长)。结果共拨打了14 505个电话号码,其中10 340个为有效号码。通过拨打电话联系到了589位可能符合研究要求的家长,其中401位接受了采访。绝大部分(92%)受访的家长认为,对普通急性上呼吸道感染,尤其是急性中耳炎来说,抗生素有很好的治疗效果,尽管治疗这些疾病,尤其是急性咳嗽、咽喉痛,不使用抗生素,有时候是可行的。家长们把抗生素的疗效高估了5~10倍,而且他们认为应用抗生素能减少并发症的发生。大部分(78%)家长认识到了抗生素可以带来危害。回顾最近带孩子就诊的经历,44%的家长谈到了自己至少和全科医生讨论过为什么使用抗生素治疗,自己和全科医生在此方面的看法不一致;75%的家长想更多地参与后续治疗中的临床决策。结论部分家长对应用抗生素治疗患儿急性呼吸道感染的看法存在误区,他们高估了使用抗生素治疗的必要性以及抗生素的疗效。因此,全科医生与家长就此方面进行良好的沟通是减少使用抗生素治疗急性呼吸道感染患儿的措施之一。
[Abstract]:Objective antibiotics are commonly used to treat children with acute respiratory tract infection (ARI). Parents are often blamed for asking general practitioners to prescribe antibiotics to their children. The purpose of this study was to investigate parents' views on the necessity of antibiotic therapy, to quantify their expectations of the benefits of antibiotic use, to report their experiences in other treatments, and to report their preference to participate in and make decisions together. Methods the method of computer-aided telephone interview was used in this study. Participants were selected from the primary caretaker (parent) of 12-year-old children in various Australian communities who were contacted by random family fixed-line calls. Results A total of 14 505 telephone numbers were dialed, of which 10 340 were valid numbers. 589 parents were contacted by phone, 401 of whom were interviewed. The vast majority (92%) of the parents surveyed believed that antibiotics were effective in treating common acute upper respiratory tract infections, especially acute otitis media, despite the treatment of these diseases, especially acute cough, sore throat, It is sometimes possible not to use antibiotics. Parents overestimated the efficacy of antibiotics by 5 to 10 times, and they think antibiotics can reduce complications. Most (78%) parents realize that antibiotics can be harmful. Looking back on the experience of seeing a child recently, 44% of the parents said they had discussed with the GP at least why they were treated with antibiotics, and they did not agree with the GP in this regard. 75% of parents want to be more involved in clinical decisions for follow-up treatment. Conclusion some parents have misconceptions about the treatment of acute respiratory tract infection of children with antibiotics. They overestimate the necessity of using antibiotics and the efficacy of antibiotics. Therefore, good communication between general practitioners and parents is one of the measures to reduce the use of antibiotics in the treatment of children with acute respiratory infection.
【分类号】：R725.6

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