腸内注射の心理的影響に関する解説

Nicholas George Giannopoulos¹, Carmelo Zak Macri¹, Isuri Apsara Kumari Seneviratne²

¹Discipline of Ophthalmology and Visual Sciences, The University of Adelaide, Adelaide, South Australia, Australia; Royal Adelaide Hospital, Adelaide, South Australia, Australia.

Survey of ophthalmology

|August 30, 2025

まとめ

静脈内注射 (IVI) は,不十分な教育や痛みなどの要因により,患者の大きな不安を引き起こします. 患者中心の戦略でこれらの心理的影響に対処することで網膜疾患の治療順守を向上させることができます

科学分野:

眼科について
心理学
医療規範に従う

背景:

網膜内注射 (IVI) は多くの網膜疾患の基礎療法です.
IVIに関連した心理的苦痛は,患者の治療遵守に悪影響を及ぼします.

研究の目的:

IVIの心理的影響を総合的に検討する.
IVIに関連した心理的苦痛の原因,結果,および潜在的な解決策を特定する.

主な方法:

主要な電子データベース (PubMed,OVID,Google Scholar,Cochrane) で体系的な文献検索を行っています.
1252件の論文の初期検索から 34件のピアレビューされた論文を集め,分析した.

主要な成果:

最も頻繁に報告される心理的影響は不安であり,患者の17. 3~85%に影響します.
主な不安の原因には,患者の教育が不十分であること,処置の痛み/不快感,そして物流上の課題 (移動,待ち時間) が含まれる.
うつ病などの心理的影響に関する証拠は限られている.

結論:

患者中心の教育と手順変更 (例えば,スペキュラムの使用の代替手段,短い待ち時間,手順中のサポート) は,IVIに関連する不安を軽減することができます.
非不安の心理的影響を調査し,より広範なアデプションの障壁を特定するには,さらなる研究が必要です.

キーワード:

静脈内注射年齢による黄斑変性心配する糖尿病性マキュラ腫糖尿病性網膜症患者の順守公衆衛生網膜静脈閉塞血管内皮成長因子

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