Urinary tract infections (UTIs) can be life threatening in older adults. The aim of this study was to primarily understand the acceptability and feasibility of using a UTI leaflet for older adults in care homes and the community. Qualitative interviews and focus groups informed by the Theoretical Domains Framework were conducted in 2019 with 93 participants from two English areas where a UTI leaflet for older adults had been introduced to improve self-care advice. Discussions were conducted with care staff (carers and nurses), older adults, general practice staff (GPs, nurses and health care assistants), and other relevant stakeholders and covered experiences of using the leaflet; its implementation; and barriers and facilitators to use. Participants deemed the leaflet an acceptable tool. Clinicians and care staff believed that having information in writing would reinforce their messages to older adults. Care staff reported that some older adults may find the information overwhelming. Where implemented, care staff used the leaflet as an educational guide. Clinicians requested the leaflet in electronic and paper formats to suit preferences. Implementation barriers included lack of awareness of the leaflet, lack of staffing and resource, and weak working relationships between care homes and general practices. It is recommended that regional strategies must include plans for dissemination to care homes, training, promotion and easy access to the leaflet. Improvements to the leaflet consisted of inclusion of antibiotic course length, D-mannose, atrophic vaginitis and replacement of less alarmist terminology such as ‘life threatening’.

中文翻译：

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对老年人及其照料者尿路感染患者信息单张的可接受性和可行性进行定性研究

老年人的尿路感染（UTI）可能危及生命。这项研究的目的是主要了解在养老院和社区中使用UTI传单供老年人使用的可接受性和可行性。2019年，在理论领域框架的指导下进行了定性访谈和焦点小组会议，来自两个英国地区的93名参与者进行了介绍，其中引入了针对老年人的UTI传单以改善自我保健建议。与护理人员（照料者和护士），老年人，全科医师（全科医生，护士和保健助理）以及其他相关利益相关者进行了讨论，并介绍了使用传单的经验；其实施；以及使用障碍和促进者。参与者认为传单是可以接受的工具。临床医生和护理人员认为，拥有书面信息会增强他们对老年人的信息。护理人员报告说，一些老年人可能会发现这些信息不胜枚举。实施时，护理人员将传单用作教育指南。临床医生要求以电子和纸质格式的传单以适合个人喜好。实施方面的障碍包括对传单的了解不足，人员配备和资源不足以及疗养院和一般做法之间的工作关系薄弱。建议区域策略必须包括向护理之家传播，培训，推广和易于获得传单的计划。对小叶的改进包括抗生素疗程的长短，D-甘露糖，萎缩性阴道炎和不那么危言耸听的术语的替代，例如“威胁生命”。