职业治疗对促进初级保健中药物坚持的影响:一项随机对照试验
Traci A Garrison1, Jaclyn K Schwartz2, Elizabeth S Moore3
1Traci A. Garrison, DHSc, OTR/L, is Clinical Associate Professor, Department of Occupational Therapy, Missouri State University, Springfield; TraciGarrison@missouristate.edu.
概括
综合药物自我管理干预 (IMedS) 在高血压和糖尿病的成年人中改善了药物坚持. 职业治疗对初级保健机构的药物服药和习惯产生了积极的影响.
科学领域:
- 职业治疗是一种职业疗法.
- 主要的护理是初级护理.
- 慢性疾病管理 慢性疾病管理
背景情况:
- 药物坚持对于管理慢性疾病,如高血压和2型糖尿病至关重要.
- 综合药物自我管理干预 (IMedS) 是一种职业治疗方法,旨在增强药物坚持.
- 在社区临床环境中IMedS的疗效需要评估.
研究的目的:
- 评估IMedS干预措施在改善高血压 (HTN),2型糖尿病 (T2DM) 或两种疾病诊断的社区成年人药物坚持率方面的有效性.
主要方法:
- 采用了一项随机对照试验,采用了前测试后测试对照组设计.
- 这项研究是在联邦资格医疗中心的初级保健诊所进行的.
- 患有不受控制的HTN,T2DM或两者的参与者被随机分配到通常治疗 (TAU) 或TAU加IMedS干预.
主要成果:
- 虽然两组都显示了增加的坚持,但IMedS组显示了与TAU组相比,对补充和药物治疗的坚持 (ARMS-7) (dc = 0.65) 和药丸计数 (d = 0.55) 的统计学上显著的积极影响.
- 后期分析表明,职业治疗干预对药物坚持措施产生了独特的积极影响.
结论:
- 职业治疗师可以在初级保健机构内有效地实施干预措施,以改善患者的药物服药.
- 这些发现强调了职业治疗师作为跨学科初级保健团队的一部分在管理药物坚持方面发挥的宝贵作用.
相关概念视频
Drug Therapy
74
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
74
Operant Conditioning Intervention
89
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
89
Modeling in Therapy
128
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
128
Psychosis: Goals of Pharmacotherapy
172
Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
172
Interdisciplinary Care: The Health Care Team-II
1.4K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
1.4K
The Placebo Effect
6.2K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.2K


