北京患儿家长抗生素知识10年变化

10 years' changes on parent's antibiotic knowledge in Beijing

目的：比较2001年及2011年10年前后患儿家长对抗生素知识掌握的差异,为采取多种措施控制儿童抗生素的不合理使用提供依据。方法选择2001年和2011年8-10月在首都儿科研究所内科门诊就诊的患儿家长进行问卷调查。结果2001年共调查1100名患儿家长,有效问卷1080份,问卷回收率为98.2%；2011年调查975名家长,有效问卷935份,问卷回收率为95.9%。10年后家长认识到咳嗽、感冒、一般咽炎或非化脓性扁桃体炎及支气管炎等呼吸道感染时不一定要用抗生素的比例,较10年前有明显的提高（P〈0.01）。但对于医生给予的抗生素使用意见的依从性有所降低,从2001年的85.1%降到2011年的77.6%（χ2=13.41,P〈0.05）；对于抗生素使用太多会影响治疗效果及经常使用抗生素可能产生耐药菌的认识10年后没有进步。结论2011年家长的抗生素知识较之10年前有所提高,但进步幅度不大,还需加强相关知识的教育。

Objective Compare the differences of antibiotics knowledge of children patients’ parents between 2001 and 2011. Method The questionnaries were send to those parents who took their children visiting capital institution of pediatric’ s medicine clinic at random. Result 1100 parents were investigated among which 1080 questionnaires were valid,the validity rate reached 98. 2% in 2001. 975 parents were investigated among which 935 questionnaires were valid,the validity rate reached 95. 9% in 2011. The percentage of parents who knew antibiotic was not must to be used in upper-respiratory infection（fever,cough,common cold） had significantly increased（P〈0. 01）. However, parents’compliance to doctor about antibiotic’s application had decreased between that 10 years（85. 1% in 2001, 77. 6% in 2011,χ2=13. 41,P〈0. 05）. There were no significant change on the parents’ knowledge about antibiotic abuse will reduce therapy effects and will lead to bacteria resistance in that decade（P〉0. 05）. Conclusion The level of parent’ s antibiotic knowledge had been slightly improved in that 10 years. We need do more education to parents in the future.