The effect of the educational program on rational antibiotic use on the knowledge and attitude levels of health technician students

Year 2023, Volume: 21 Issue: 3, 394 - 402, 15.12.2023

İsmet Çelebi , İskender Gün

https://doi.org/10.20518/tjph.1141374

Abstract

Objectives: The aim of this study is to measure the effect of the education program concerning rational antibiotic use on the knowledge-attitude levels of health technician students towards rational antibiotic use.

Method: This intervention study has been conducted with vocational school students (control group: 437,
intervention group: 403) enrolled in the same health services program at two universities. The dependent
variable of the study was the Knowledge-Attitude Scale towards Rational Antibiotic Use and the independent variables were the control and intervention groups. The educational program applied in this study included the definitions and distinction between infections, flu and cold, the mechanism of action and types of antibiotics, the consequences of irrational antibiotic use, antibiotic resistance and rational and irrational use of antibiotics.

Result: Both the knowledge and attitude mean scores of the intervention group on the final test were found tobe statistically significant and higher than the mean scores of the pre-test. When the final test and retention test score averages of the intervention group were examined, it was found that there was no statistically significant difference between the mean knowledge score and mean attitude score on the final tests and retention tests

Conclusion: This study is the first educational intervention study in Turkey concerning the rational use of
antibiotics by health technician candidates. As a result of this study, a significant increase was observed in knowledge-attitude levels on rational antibiotic use after the intervention training concerning rational antibiotic use and in terms of retention.

Keywords

Antibiotics, Attitute, Education, Health Workers, Knowledge

Akılcı Antibiyotik Kullanımına Yönelik Eğitim programının Sağlık tekniker Adaylarına Etkisi

Abstract

Amaç: Bu çalışmanın amacı, akılcı antibiyotik kullanımına yönelik eğitim programının sağlık teknikeri öğrencilerinin akılcı antibiyotik kullanımına yönelik bilgi-tutum düzeylerine etkisini ölçmektir.
Yöntem: Bu müdahale çalışması Ankara'da iki üniversitede aynı sağlık hizmetleri programına kayıtlı meslek yüksekokulu öğrencileri (kontrol grubu: 437, müdahale grubu: 403) ile yapılmıştır. Araştırmanın bağımlı değişkeni Akılcı Antibiyotik Kullanımına Yönelik Bilgi-Tutum Ölçeği, bağımsız değişkenleri ise kontrol ve müdahale gruplarıdır. Bu çalışmada uygulanan eğitim programında enfeksiyonlar, grip ve soğuk algınlığı tanımları ve ayrımları, antibiyotiklerin etki mekanizması ve çeşitleri, akılcı olmayan antibiyotik kullanımının sonuçları, antibiyotik direnci ile akılcı ve akılcı olmayan antibiyotik kullanımı yer almıştır.
Sonuç: Müdahale grubunun son testteki hem bilgi hem de tutum ortalama puanları istatistiksel olarak anlamlı ve ön test ortalama puanlarından daha yüksek bulunmuştur. Müdahale grubunun son test ve kalıcılık testi puan ortalamaları incelendiğinde, son testler ve kalıcılık testlerindeki bilgi puan ortalamaları ile tutum puan ortalamaları arasında istatistiksel olarak anlamlı bir fark olmadığı görülmüştür.
Sonuç: Bu çalışma, sağlık teknikeri adaylarının akılcı antibiyotik kullanımına ilişkin Türkiye'deki ilk eğitimsel müdahale çalışmasıdır. Bu çalışmanın sonucunda akılcı antibiyotik kullanımına yönelik müdahale eğitimi sonrasında akılcı antibiyotik kullanımına ilişkin bilgi-tutum düzeylerinde ve akılda kalıcılık açısından anlamlı bir artış gözlenmiştir.

Keywords

Antibiyotikler, Tutum, Eğitim, Sağlık Çalışanları, Bilgi

References

• Struzycka, I., Mazinska, B., Bachanek, T., Boltacz‐Rzepkowska, E., Drozdzik, A., Kaczmarek, U., ... & Tanasiewicz, M. (2019). Knowledge Of Antibiotics And Antimicrobial Resistance Among Final Year Dental Students Of Polish Medical Schools‐A Cross‐Sectional Study. European Journal Of Dental Education
• Widayati, A., Suryawati, S., De Crespigny, C., & Hiller, J. E. (2012). Knowledge and beliefs about antibiotics among people in yogyakarta city ındonesia: A cross sectional population-based survey. Antimicrobial Resistance And İnfection Control, 1(1), 38.
• Zhu, X., Pan, H., Yang, Z., Cui, B., Zhang, D., & Ba-Thein, W. (2016). Self-Medication practices with antibiotics among chinese university students. Public Health, 130, 78-83.
• World Health Organization. Antimicrobial resistance: a threat to global health security. Rational use of medicines by prescribers and patients, Apr 2005; A58/14. http://apps.who.int/gb/archive/ pdf_files/WHA58/A58_2-en.pdf (Date of Access :01 Ferbuary 2021
• Cebotarenco, N., & Bush, P. J. (2008). Reducing antibiotics for colds and flu: a student-taught program. Health education research, 23(1), 146-157.
• Mazińska, B., Strużycka, I., & Hryniewicz, W. (2017). Surveys of public knowledge and attitudes with regard to antibiotics in Poland: Did the European Antibiotic Awareness Day campaigns change attitudes?. PloS one, 12(2), e0172146.
• Zaidi, S. F., Alotaibi, R., Nagro, A., Alsalmi, M., Almansouri, H., Khan, M. A., ... & Memon, I. (2020). Knowledge and Attitude Towards Antibiotic Usage: A Questionnaire-Based Survey Among Pre-Professional Students at King Saud bin Abdulaziz University for Health Sciences on Jeddah Campus, Saudi Arabia. Pharmacy, 8(1), 5.
• O'Neill J. Tackling Drug-Resistant Infections Globally: Final Report and Recommendations: The Review on Antimicrobial Resistance; 2016. Available from: https://amr-review.org
• World Healht Organization. Antibiotic Resistance URL: https://www.who.int/news-room/fact-sheets/detail/antibiotic-resistance (Date of Access :15 Ferbuary 2019)
• Keçik M. Rational use of antibiotics, Turkey and data objectives. Turkey Rational Drug Use Newsletter, 2017:4(9)
• Kılıç, E., & Yenilmez, F. (2019). An Evaluatıon on antıbıotıc use, antıbıotıc resıstance and trade balance ın turkey and eu countrıes. ESTUDAM Public Health Journal 2019;4(1):45-54
• Shlaes, D. M., & Bradford, P. A. (2018). Antibiotics—From There to Where?: How the antibiotic miracle is threatened by resistance and a broken market and what we can do about it. Pathogens & immunity, 3(1), 19.
• Önlen Y, Özer C, Akoğlu E, Sangün Ö, Özer B, Savaş L, et al. Antıbıotıc Use In Acute Respıratory Infectıons In Health Care Pro-Vıders And Theır Famıly Members. 2006;26:364–
• Razon, Y., Ashkenazi, S., Cohen, A., Hering, E., Amzel, S., Babilsky, H., ... & Levy, I. (2005). Effect of educational intervention on antibiotic prescription practices for upper respiratory infections in children: a multicentre study. Journal of antimicrobial chemotherapy, 56(5), 937-940.
• Taylor, J. A., Kwan-Gett, T. S. C., & McMahon Jr, E. M. (2005). Effectiveness of a parental educational intervention in reducing antibiotic use in children: a randomized controlled trial. The Pediatric infectious disease journal, 24(6), 489-493.
• Lee, C. Ventola The Antibiotic Resistance CrisisPart 1: Causes and Threats.2015: 40(4): 277–283.
• Lecky, D. M., McNulty, C. A., Touboul, P., Herotova, T. K., Beneš, J., Dellamonica, P., ... & Goossens, H. (2010). Evaluation of e-Bug, an educational pack, teaching about prudent antibiotic use and hygiene, in the Czech Republic, France and England. Journal of Antimicrobial Chemotherapy, 65(12), 2674-2684.
• Azevedo MM, PinheironC, Yaphe J, Baltazar F. Assessing the impact of a school intervention to promote students’ knowledge and practices on correct antibiotic use. International Journal of Environmental Research and Public Health, 2013;10(7), 2920-2931.
• Çelebi, İ., & İskender, G. Ü. N. (2019, September). Akılcı Antibiyotik Kullanımı Bilgi-Tutum Ölçeğinin Geliştirilmesi. In 3. International 21. National Public Health Congress.
• Trepka, M. J., Belongia, E. A., Chyou, P. H., Davis, J. P., & Schwartz, B. (2001). The effect of a community intervention trial on parental knowledge and awareness of antibiotic resistance and appropriate antibiotic use in children. Pediatrics, 107(1)
• Croft, D. R., Knobloch, M. J., Chyou, P., Elzen, D. V., Janette, C., Davis, J. P., ... & Belongia, E. A. (2007). Impact of a child care educational intervention on parent knowledge about appropriate antibiotic use. WMJ-MADISON-, 106(2), 78.
• Cisneros, J. M., Cobo, J., San Juan, R., Montejo, M., & Fariñas, M. C. (2013). Education on antibiotic use. Education systems and activities that work. Enfermedades Infecciosas y Microbiología Clínica, 31, 31-37.
• Pavese, P., Saurel, N., Labarère, J., Decouchon, C., Vittoz, J. P., Foroni, L., ... & François, P. (2009). Does an educational session with an infectious diseases physician reduce the use of inappropriate antibiotic therapy for inpatients with positive urine culture results? A controlled before-and-after study. Infection Control & Hospital Epidemiology, 30(6), 596-599.