血液透析患者药物坚持的决定因素:基于能力-机会-动机和行为模型的横截面研究
Mehdi Mirzaei-Alavijeh1, Behrooz Hamzeh2, Hamidreza Omrani3
1Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
BMC nephrology
|June 14, 2023
概括
末期病 (ESRD) 患者的药物坚持程度受到动机,自我效能和知识的显著影响. 能力-机会-动机-行为 (COM-B) 模型有效地预测了坚持,指导伊朗ESRD患者的干预措施.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 药物坚持是成功管理末期病 (ESRD) 的关键.
- 确定坚持的关键决定因素对于改善患者的治疗结果至关重要.
研究的目的:
- 应用能力-机会-动机-行为 (COM-B) 模型,以确定影响ESRD患者药物坚持的关键因素.
- 为开发有针对性的干预措施提供理论框架,以加强治疗坚持.
主要方法:
- 这是一项两步的横截面研究,涉及伊朗克尔曼沙市的260名ESRD患者.
- 文献审查以提取COM-B组件,然后通过问卷和采访收集数据.
- 使用SPSS版本16进行统计分析.
主要成果:
- 动机 (Beta: 0.373),自我效能 (Beta: 0.244) 和知识 (Beta: 0.116) 成为药物坚持的最强预测因素.
- 在受过更高教育和就业的患者中,坚持性更高,并且与收入有积极的相关性.
- 观察到坚持和药物持续时间之间存在显著的反向关系.
结论:
- 该COM-B模型提供了一个全面的框架,用于理解和预测ESRD患者的药物坚持.
- 结果支持基于理论的建议,用于伊朗的临床实践和研究.
- 未来的干预措施应优先提高伊朗ESRD患者的动机,自我效能和知识,以改善药物坚持.
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