患有CKD的青少年的药物坚持:成功的习惯
Cyd K Eaton1, Margaret Comer2, Cozumel S Pruette2
1Johns Hopkins University School of Medicine, 4200 Eastern Avenue, Baltimore, MD, 21224, USA. ceaton4@jhmi.edu.
Pediatric nephrology (Berlin, Germany)
|June 12, 2023
概括
评估患有慢性脏病 (CKD) 的年轻人的药物坚持习惯,揭示了高与低药物坚持之间的差异. 了解这些习惯可以改善儿科CKD患者的治疗坚持.
科学领域:
- 儿科脏病学 儿科脏病学
- 行为科学 行为科学
- 健康心理学 心理健康心理学
背景情况:
- 不良的坚持习惯显著影响慢性病 (CKD) 的治疗结果.
- 评估坚持习惯的临床可行方法有限,特别是在儿科患者群体中.
- 这项研究通过检查患有CKD的年轻人的坚持习惯来解决这个差距.
研究的目的:
- 调查儿童慢性病患者对坚持习惯的定性反应与客观药物坚持之间的关系.
- 为了识别坚持习惯的模式,区分高和低的药物坚持.
- 探索习惯形成原则的应用,以改善这一群体的药物坚持.
主要方法:
- 从儿科脏病诊所招募11至21岁的参与者.
- 客观测量每日抗高血压药物的坚持使用电子药丸瓶超过4周.
- 与一小部分参与者 (N=18) 进行定性访谈,重点关注坚持习惯和例程.
主要成果:
- 在高中度 (80-100%) 和低 (0-79%) 坚持群体之间,在坚持习惯讨论中观察到明显的定性差异.
- 高中坚持的参与者描述了情境线索 (地点,日常,人) 和感知药物摄入量为"自动"或"习惯".
- 低坚持性参与者很少讨论习惯特征,并且经常提到组织和日常工作的挑战.
结论:
- 患者对坚持习惯问题的反应可以识别习惯形成中的挑战.
- 结果可以指导干预措施,通过开发自动服用药物的线索来加强坚持习惯.
- 这种方法可以提高药物坚持并支持患有CKD的年轻人的积极健康结果.
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