The Journal of Shahid Sadoughi University of Medical Sciences
مجله علمي پژوهشي دانشگاه علوم پزشكي شهید صدوقی يزد
JSSU
Medical Sciences
http://jssu.ssu.ac.ir
20
journal20
2228-5741
2228-5733
fa
jalali
1401
2
1
gregorian
2022
5
1
30
2
online
1
fulltext
fa
بررسی نگرش و عملکرد مادران در مورد مصرف آنتیبیوتیک در کودکان کمتر از 5 سال بستری در بخش و اورژانس بیمارستان شهید صدوقی یزد در سال 1399 -1398
Evaluation of Attitudes and Practices of mothers on Antibiotic Use in Children under five years old Referred to Shahid Sadoughi Hospital in Yazd, 2019-2020
اطفال
Pediatrics
پژوهشي
Original article
<div style="text-align: justify;"><span dir="LTR"></span><span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مقاومت میکروبی ناشی از مصرف بیش از حد آنتیبیوتیک</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ها میتواند سلامت عمومی جامعه را به خطر بیاندازد. عوامل گوناگونی در مصرف بیش از حد آنتیبیوتیک</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""></span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">ها توسط مادران برای کودکانشان نقش دارند. هدف این مطالعه بررسی نگرش و رفتار مادران در مورد مصرف آنتیبیوتیک کودکان کمتر از 5 سال در شهر یزد بود.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">روش بررسی:</span></span></b> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">در این مطالعه توصیفی مقطعی، 302 مادر دارای کودک زیر 5 سال در سالهای 98-99 وارد مطالعه شدند و پرسشنامه نگرش و عملکرد مادران در مورد مصرف آنتیبیوتیکتکمیل شد.</span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> سپس اطلاعات بهدست آمده وارد نرمافزار آماری</span></span><span dir="LTR" new="" roman="" style="font-family:" times=""> SPSS version 16</span><span style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> گردید و از نظر آماری 0/05</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P<</span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> معنیدار در نظر گرفته شد</span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج:</span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">سطح نگرش مادران در60 نفر (20 %) ضعیف، 180 نفر(59/5 %) متوسط و 62 نفر(20/5 %) خوب بود. سطح عملکرد در 55 نفر(18/2 %) ضعیف،210 نفر(69/5 %) متوسط و 37 نفر (12/3 %) خوب بود. </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مادران با میزان تحصیلات بالاتر</span></span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">به طور معنیداری از سطح نگرش </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(0/000</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P= </span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) و عملکرد </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">(0/007</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P= </span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) بالاتری برخوردار بودند</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">.</span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">با افزایش تعداد فرزندان، سطح نگرش (0/03</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P= </span><span new="" roman="" style="font-family:" times="">)</span> <span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">و عملکرد (0/02</span></span><span dir="LTR" new="" roman="" style="font-family:" times="">P=</span> <span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">) </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مادران به طور معناداری کمتر بود.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتیجهگیری:</span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:"> بر اساس </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">نتایج </span></span><span lang="FA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">این </span></span><span lang="AR-SA" style="font-size:12.0pt"><span b="" nazanin="" style="font-family:">مطالعه، اکثر مادران در استفاده از آنتیبیوتیکها از نگرش و عملکرد متوسطی برخوردارند. همچنین تعداد قابلتوجهی مصرف آنتیبیوتیک بدون تجویز پزشک را ذکر نمودند. بنابراین، برای کاهش مصرف نادرست آنتیبیوتیکها، توجه به برنامههای آموزشی با برنامهریزی مناسب توسط رسانههای عمومی توصیه میشود. آموزش پزشکان و نظارت بر عملکرد ایشان، نظارت دقیق بر فروش آنتیبیوتیکها در داروخانهها برای کاهش مصرف آنها بدون تجویز پزشک منطقی است.</span></span><span lang="FA" style="font-size:12.0pt"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></div>
<span dir="LTR"></span>
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Introduction:</span></b> <span new="" roman="" style="font-family:" times="">Microbial resistance due to antibiotics overuse can endanger the general health of society. Various factors play a role in mothers' overuse of antibiotics for their children. This study aimed to investigate mothers' attitude and behavior about the use of antibiotics in children under five years old in Yazd City.</span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Methods:</span></b> <span new="" roman="" style="font-family:" times="">In this cross-sectional descriptive study, 302 mothers with children under five years old were included in 2019-2020; a questionnaire of mothers' attitudes and practices regarding antibiotic use was completed. Then, the obtained data were analyzed by SPSS software version 16 and P-value less than 0.05 was considered statistically significant.</span><span style="font-family:"Times New Roman","serif""></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Results:</span></b><b> </b><span new="" roman="" style="font-family:" times="">The mothers' attitude level was poor, moderate, and good in 60 (20%), 180 (59.5%), and 62 patients (20.5%), respectively. Furthermore, mothers' practice level</span><span new="" roman="" style="font-family:" times=""> was poor in 55 (18.2%), moderate in 210 (69.5%) and good in 37 (12.3%).</span> <span new="" roman="" style="font-family:" times="">The level of attitude (</span><span new="" roman="" style="font-family:" times="">P = </span><span new="" roman="" style="font-family:" times="">0.000) and practice (</span><span new="" roman="" style="font-family:" times="">P = </span><span new="" roman="" style="font-family:" times="">0.007) in mothers with a higher level of education was significantly higher.</span> <span new="" roman="" style="font-family:" times="">With increasing the number of children, mothers' attitude (P = 0.03) and practice (P = 0.02) were significantly lower.</span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:18.0pt"><span calibri="" style="font-family:"><b><span new="" roman="" style="font-family:" times="">Conclusion:</span></b><b> </b><span new="" roman="" style="font-family:" times="">The study results showed that most mothers have a moderate level of attitude and practice in using antibiotics in their children. A significant number of them also mentioned antibiotic use without a prescription. Therefore, to reduce the improper use of antibiotics, it is recommended to pay attention to educational programs with proper planning by the public media. It makes sense to train physicians, monitor their performance and closely monitor the sale of antibiotics in pharmacies to reduce their use without a doctor's prescription.</span><span style="font-family:"Times New Roman","serif""></span></span></span></span></div>
نگرش, عملکرد, آنتیبیوتیک, کودکان
Attitude, Practice, Antibiotics, Children.
4576
4582
http://jssu.ssu.ac.ir/browse.php?a_code=A-10-4755-1&slc_lang=fa&sid=1
Zahra
Nafei
زهرا
نافعی
nafeiy@yahoo.com