ผลของการแทรกแซงหลายรูปแบบต่อการสั่งใช้ยาปฏิชีวนะในโรคคอหอยอักเสบและท้องร่วงเฉียบพลันในหน่วยบริการสุขภาพปฐมภูมิ อ.ปากพะยูน จ.พัทลุง ; Impact of Multiple Intervention on The Use of Antibiotics in Acute Pharyngitis and Acute Diarrhea in Primary Care Units at Pakpayoon District, Phatthalung

วิทยานิพนธ์ (ภ.ม. (เภสัชศาสตร์สังคมและการบริหาร))--มหาวิทยาลัยสงขลานครินทร์, 2561 ; The purpose of this study was to investigate the effects of interventions consisting of education on rational use of antibiotics in acute pharyngitis (AP) and acute gastroenteritis (AGE), the provision of media for education and diagnostic equipment and supervision of rational use of antibiotic in both diseases among medical personnel in primary care units at Pak Phayun District, Phatthalung. The subjects were prescribers in 18 subdistrict health promotion hospitals (SHPH) and community health centers in Pak Phayun district, Phatthalung Province. The subjects were randomly divided into 2 groups: control group and experimental group. Both groups attended educational session on rational use of antibiotics in AP and AGE, receiving educational media and diagnostic devices. The experimental group was supervised in the second and fourth months after training. The control group was supervised once in the fourth month. The study collected monthly data on prescribing in AP and AGE before and after the intervention for 6 months using the E-tool version 4.0 program. After attending education session, subjects in control and experimental groups were more confident in treating AP without antibiotic use (P=0.027 and 0.027, respectively) and in treating AGE without antibiotic use (P=0.039 and 0.042, respectively). However, there were no change in attitudes toward antibiotic treatment in both diseases, knowledge on the use of antibiotics in both diseases, perception of patients' expectation to receive antibiotics in both diseases, perception on substitutes of antibiotics in both diseases, perception on the lack of educational media regarding the treatment of both diseases without antibiotics, and perception of the lack of diagnostic equipment for AP. The control group and the experimental group had a similar monthly rate of antibiotic use in AP and AGE throughout the six months before intervention, ie 32- 35% and 38-40%, respectively. At 2 ...