更新的指南,以改善慢性阻塞性肺病患者的药物坚持
Meredith A Case1, Michelle N Eakin1
1Division of Pulmonary and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Expert review of respiratory medicine
|July 26, 2023
概括
慢性阻塞性肺病 (COPD) 的药物坚持性很差,只有20-30%的患者坚持治疗. 提高坚持是实现COPD治疗的全部好处的关键.
科学领域:
- 肺部医学 肺部医学
- 健康 结果 研究 研究 结果
- 行为科学 行为科学
背景情况:
- 慢性阻塞性肺病 (COPD) 的药物坚持率极低,通过电子监测估计为20-30%.
- 这种显著的不坚持限制了已有的COPD治疗方法的有效性.
- 了解和解决不服从是改善患者治疗结果的关键.
研究的目的:
- 审查COPD患者不坚持治疗的流行情况.
- 检查不遵守和健康结果之间的联系.
- 识别遵守的障碍,并探索潜在的干预措施.
主要方法:
- 关于COPD药物坚持的研究文献综述.
- 对流行率,结果,障碍和干预措施的研究进行分析.
- 专家意见的综合对将坚持研究纳入实践.
主要成果:
- 在COPD中,不遵守是普遍存在的,对健康结果产生负面影响.
- 坚持的障碍是多方面的,包括并发症,教育缺陷,处方问题,成本和获取.
- 需要量身定制的干预措施,包括教育和行为方法.
结论:
- 将遵守评估和定制干预措施纳入临床实践对于COPD管理至关重要.
- 电子吸入器监控器看起来很有前途,但需要进一步开发以解决实际和伦理方面的问题.
- 解决可修改的障碍和优化处方策略可以改善患者的坚持和结果.
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