以人为中心的护理和患者对药物和坚持的信念:一个横截面研究
Tinne Dilles1, Laura Mortelmans1, Elke Loots1
1University of Antwerp, Centre for Research and Innovation in Care - NuPhaC, Antwerp, Belgium.
Heliyon
|May 30, 2023
概括
以人为中心的护理 (PCC) 对慢性病患者的药物坚持有积极的影响. 增强PCC可以提高患者对药物必要性的信念,并减少人们的担忧,从而改善健康结果.
科学领域:
- 药理学 药理学是指药理学的学科.
- 患者护理 患者护理
- 健康结果的健康结果.
背景情况:
- 以人为中心的护理 (PCC) 与改善的健康结果有关.
- 在慢性疾病中,高比例的不服药导致结果差,成本增加.
- 了解PCC和药物坚持之间的关系对于优化患者护理至关重要.
研究的目的:
- 调查以人为中心的护理 (PCC) 与慢性药物使用个体的药物坚持之间的联系.
- 为了确定患者对药物的信念是如何受到他们感知到的PCC水平的影响.
主要方法:
- 跨截面调查设计,涉及成年人每天使用至少3种慢性药物.
- 使用的验证问卷:药物坚持报告量表 (MARS-5),关于药物的信仰问卷 (BMQ),以客户为中心的护理问卷 (CCCQ) 和共享决策问卷 (SDM-Q-9).
- 收集关于社会人口统计,健康状况和与毒品有关的负担作为潜在影响因素的数据.
主要成果:
- 一个由459名参与者组成的样本显示了高度的坚持 (88%在MARS-5上得分≥20).
- 增加的PCC与更高的药物坚持可能性相关 (OR1.07,95%CI [1.02-1.12]).
- PCC与药物的感知必要性以及必要性与担忧之间的平衡有正相关,而与担忧和感知有害性/过度使用有负相关.
结论:
- 患有慢性疾病的患者在药物护理中感知到高水平的PCC,这与药物坚持有很弱的关联.
- 更高的感知PCC增强了患者对药物的必要性的信念,并改善了必要性和担忧之间的平衡.
- 医疗保健提供者积极参与PCC,而不是被动接受患者信息,可以改善药物护理.
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