Randomized Controlled Trial of Parent Therapeutic Education on Antibiotics to Improve Parent Satisfaction and Attitudes in a Pediatric Emergency Department
Randomized Controlled Trial of Parent Therapeutic Education on Antibiotics to Improve Parent Satisfaction and Attitudes in a Pediatric Emergency Department
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DOI：
10.1371/journal.pone.0075590
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发表时间：
2013-09-26
期刊：
影响因子：
3.7
通讯作者：
Bourdon, Olivier
中科院分区：
文献类型：
--
作者：
Angoulvant, Francois;Rouault, Anne;Bourdon, Olivier
目的：评估儿科急诊科开展的治疗教育，以提高家长的满意度和对明智使用抗生素的态度。方法：在三级儿科医院急诊科，将1个月至6岁因急性呼吸道或泌尿道感染口服抗生素处方出院的儿童随机分配到由接受过治疗教育培训的药剂师向其家长（在儿童在场的情况下）进行抗生素使用治疗教育（干预组）或发烧控制治疗教育（对照组）。教育包括 30 分钟的面对面会议，包括四个部分：教育诊断、教育合同、教育和评估。主要结果指标是家长对在医院收到的抗生素信息的满意度，通过第 14 天的电话访谈进行评估。次要结果是在第 14 天和第 6 个月评估的对抗生素使用的态度。结果：在 300 名随机儿童中，每组 150 名，第 14 天评估了 259 名儿童。干预组的家长对抗生素信息的满意度更高（125/129，96.9%，而干预组的家长对抗生素信息的满意度更高）。 108/130, 83.0%；P=0.002，精确 Fisher 检验）。干预：第 14 天，小组家长对明智使用抗生素的态度问题的正确答案比例高于对照组家长（P=0.017，Mann-Whitney U 检验）。结论：儿科急诊科临床药剂师提供的治疗教育有望改善儿科抗生素的使用门诊病人。
Objective: To evaluate therapeutic education delivered in a pediatric emergency department to improve parents' satisfaction and attitudes about judicious antibiotic use.Methods: In an emergency department of a tertiary pediatric hospital, children aged 1 month to 6 years and discharged with an oral antibiotic prescription for an acute respiratory or urinary tract infection were randomized to a patient therapeutic education on antibiotic use (intervention group) or fever control (control group) delivered to the parents (in the presence of the children) by a pharmacist trained in therapeutic education. Education consisted in a 30-minute face-to-face session with four components: educational diagnosis, educational contract, education, and evaluation. The main outcome measure was parent satisfaction about information on antibiotics received at the hospital, as assessed by a telephone interview on day 14. The secondary outcome was attitudes about antibiotic use evaluated on day 14 and at month 6.Results: Of the 300 randomized children, 150 per arm, 259 were evaluated on day 14. Parent satisfaction with information on antibiotics was higher in the intervention group (125/129, 96.9%, versus 108/130, 83.0%; P=0.002, exact Fisher test).Intervention: Group parents had higher proportions of correct answers on day 14 to questions on attitudes about judicious antibiotic use than did control-group parents (P=0.017, Mann-Whitney U test).Conclusion: Therapeutic education delivered by a clinical pharmacist in the pediatric emergency department holds promise for improving the use of antibiotics prescribed to pediatric outpatients.