Responsible development of antibiotic use In upper respiratory tract infections and Acute diarrhea in Health Promotion Hospital, Koeng Subdistrict, Mueang District, Maha Sarakham Province

Abstract

Objective : To study the context and situation of excessive use of antibiotics. Develop responsible forms of antibiotics. In patients with upper respiratory tract infections And acute diarrhea And study the results of the development of responsible antibiotic forms. In patients with upper respiratory tract infections And acute diarrhea

Method : Action research. The target group of the study are public health officers at the Health Promotion Hospital of Koeng Subdistrict. Public health volunteers Chronic disease patients / general patients who received services at RorKing Hospital. A total of 50 people. The study was divided into four phases, as follows: Phase I situation analysis; Phase II case management model development ; Phase III model implementation and Phase IV evaluation of the model .The tools used in the study are interview forms, behavior observation forms. And workshop recording form Quantitative data analysis by finding the mean of the qualitative data rates by using content analysis.

Results : The outcome of the study was demonstrated, as follows. First, the analysis of Overuse of antibiotics found that service providers do not have clear guidelines for antibiotics. Service recipients want to receive antibiotics unrelated to the symptoms of the disease occurring. Secondly, the development of the model showed that a working group was formed to develop the model Form of responsible antibiotics In patients with upper respiratory tract infections And acute diarrhea in the  Koeng Hospital is 5 activities .Thirdly, implementation of the model displayed 1) Announcement of antibiotic policy in Tambon Health Promotion Hospital 2) Making media to publicize guidelines for using antibiotics 3) Enhance knowledge and confidence for service providers 4) Establish a system for using herbal medicines 5) monitor and evaluate ongoing. Lastly, the evaluation of the model exhibited the satisfaction of the patient at high   ( = 4.37 SD = 0.95) .The nurses had clear procedure of practice, confidence in providing patient care as well as concrete approach at work.

Conclusion : Responsible development of antibiotic use In upper respiratory tract infections and Acute diarrhea in Health Promotion Hospital provides an evident and concrete approach in working with the multidisciplinary team.

Keywords : Model development, Antibiotics, Inflection