在患有慢性疾病的患者中,坚持的作用
1Faculty of Biology and Medicine, University of Lausanne, Switzerland; Hypertension Research Foundation, Switzerland.
European journal of internal medicine
|July 21, 2023
概括
在慢性疾病管理中改善药物坚持对于治疗成功至关重要. 本综述探讨了检测和支持患者坚持治疗的策略,解决了长期治疗中的挑战.
科学领域:
- 药理学和患者的坚持.
- 慢性疾病管理 慢性疾病管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物坚持和持续性对于有效的慢性疾病的长期管理至关重要.
- 低于最佳的坚持和停止治疗往往导致疾病控制不良.
- 医生在识别不坚持的患者时面临时间和工具的限制.
研究的目的:
- 审查当前和新兴的策略,以检测和支持慢性疾病患者的药物坚持.
- 为临床医生提供实用指导,以识别高风险停止治疗的患者.
主要方法:
- 对现有和正在开发的依从检测和支持策略的文献综述.
- 分析临床挑战在评估患者的坚持.
- 确定高风险停药的指标.
主要成果:
- 有各种工具和策略可用或正在开发中,以监测和改善遵守.
- 鉴定患有不服药风险的患者仍然是一个重大的临床挑战.
- 简单的临床线索可以帮助识别高风险患者.
结论:
- 需要加强策略,以有效地检测和支持慢性疾病管理中的药物坚持.
- 解决附加障碍对于改善人口一级疾病控制至关重要.
- 临床医生可以利用特定的指标来主动管理容易停止治疗的患者.
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