浙江省农村居民抗生素滥用原因的定性研究

Drivers of Antibiotic Abuse among Zhejiang Rural Residents:A Qualitative Study

目的了解农村居民滥用抗生素的深层原因,为推动农村居民合理使用抗生素提供政策建议。方法通过立意抽样对36名村民进行深度访谈,鼓励受访者结合患病和治疗经历论述其观点。结果大多数村民不清楚抗生素的概念,认为抗生素等同于消炎药,常见症状和疾病等同于“炎症”,秉持“有炎症吃抗生素”的思维定式。这种思维定式主要来源于医生的诊疗过程和处方行为。村民对抗生素的疗效存在误解,且缺乏对滥用抗生素的风险认知。极少数村民听说过耐药性的概念,其认知存在偏差。结论对抗生素及常见病的错误认知是农村居民滥用抗生素的重要原因。建议利用农村社区优势,开展具有侧重点和针对性的健康教育,同时规范医生诊疗行为和处方药管理。

Objective To understand the underlying reasons for antibiotic abuse among rural residents and provide policy recommendations for promoting appropriate use of antibiotics.Methods Purpose sampling was used and in-depth interviews were conducted with 36 villagers.The interviewees were encouraged to elicit their opinions based on their disease treatment experiences.Results Most villagers had poor literacy of antibiotics,and thought antibiotics were the same as anti-inflammatory agents,and regarded common symptoms as inflammation.They had a mindset with"inflammation needs antibiotic treatment"which originated from doctors'practices and prescribing beha-viors.The villagers also misunderstood the effects of antibiotics and had poor knowledge of the risks of antibiotic abuse.Few villagers had heard about antibiotic resistance but had misconceptions about it.Conclusion Misconceptions on antibiotics and common diseases are main reasons for antibiotic abuse among rural residents.We propose to deliver focused and targeted health education in rural communities and improve doctors'practices as well as regulations on prescription drugs.