The Effects of Behaviour change Program on Incomplete Oral Antibiotics Administration in Respiratory Tract Infection Patients

Main Article Content

สมศักดิ์ วงค์วาร วธู พรหมพิทยารัตน์

Abstract

Incomplete oral antibiotic usage is the major problem of drug administration, cause treatment failure or drug resistant. This quasi-experimental research had aimed to examine the effects of behaviour-change program on incomplete oral antibiotics administration in respiratory tract infection patients in Bangrakam Hospital, Phitsanulok province, Thailand. The sample were 60 in-patients of respiratory infection that divided into experimental group and control group that each group was 30 subjects. The experimental group received the behaviour change program that application of a Health Belief Model to modify behavior of the patients who took under-dosage of antibiotics. The control group received standard care. Data were collected by using interview form before and after intervention in both groups. Data analysis was performed by using percentage, mean, standard deviation, independent t-test and paired t-test. Significant level was set at 0.05. Results revealed that after the experimentation, the experimental group had mean scores regarding perceived susceptibility of health risk, severity of respiratory infection form incomplete dosage of antibiotics, perceived benefits and barrier of complete oral antibiotics, knowledge of antibiotics and complete oral antibiotics administration behaviours in treatment of respiratory tract infection, significantly higher than that before the program. The experimental group also had mean scores of all variable significantly higher than that of the control group. Therefore, the behaviour change program on incomplete oral antibiotics administration in respiratory tract infection is effective to modify behaviour of patients who took incomplete dosage of antibiotics. The health personnel can apply this program for reduce problem of incomplete oral antibiotics administration

Keywords

Article Details

Section
Research Article

References

1. O'Neill J. The review on antimicrobial resistance. Tackling a crisis for the health and wealth of nation. London: Wellcome trust; 2014.

2. World Health Organization. The evolving threat of antimicrobial resistance : options for action. [cited24/10/2018] Avialablefrom URL:https://www.who.int/iris/handle/10665/44812.

3. Phumart P, Phodha T, Thamlikitkul V, Riewpaiboon A, Prakongsai Phusit, et al. Health and Economic Impacts of Antimicrobial Resistant Infection in Thailand: A Preliminary Study. J Health Syst Res 2012; 6(3):352-60.

4. Sumpradit N, Sutthachit S, Poonpholsap S, Chuanchuen R, Pracongsai P. Landscape of antimicrobial resistance situation and action in Thailand. Bangkok:Aksorn graphic and design;2015.

5. Mongkonchaipak J, Ruamsook J, Chaiprateab A. The Study of customer's knowledge and behavior in using antibiotics at community drug store in Pathum Thani Province. EAU Heritage J 2012;6(2):91-100.

6. Ginkajon W, Kanjanawachirakun S. Antibiotics Use Behavior of Patients in Health Promotion Hospital, Regional Health Promotion Center 3. [cited24/10/2018] Avialable from URL:https://hpc3.anamai.moph.go.th/hpc/vijai/tong1.20454.pdf.

7. Pharmaceutical Department. Annual report of Pharmaceutical Department. Bangrakam Hospital, one community;2016. 8. Taweerat P. Research methodology in behavioral sciences and social sciences. 7th ed. Bangkok: Srinakharinwirot University; 1997.

9. Khotcha P. Therawiwat M, Imamee N, Chandanasotthi P, Tuberculosis education program for male prisoner TB patients in medical coreectional institute. J Health Educ 2009;32(111):42-58.

10. Chanvech P. Effects of behavioral modification program for taking antiretroviral drugs adherence among HIV infected young patients Khon Kaen hospital, Khon Kaen province. KKU J Public Health Res 2013;6(1):21-8.

11. Edward L. Machtinger. Adherence to HIV Antiretroviral Therapy HIV InSite Knowledge Base. [cited28/10/2016] Avialable from URL:https://rdhsj.moph.go.th/ejournalEG/62.html.