对国家亚托皮性皮肤炎指南的感知依从性和相关障碍:一项针对全科医生的调查
Aviël Ragamin1,2, Karlijn F van Halewijn3, Marie L A Schuttelaar4
1Department of Dermatology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
The European journal of general practice
|August 21, 2023
概括
一般医生对亚托皮性皮炎 (AD) 准则的遵守程度有所不同,尤其是局部皮质类固醇. 患者因素和知识差距是改善初级保健中AD管理的关键障碍.
科学领域:
- 皮肤病学 皮肤病学
- 一般的做法一般的做法
- 医疗保健管理的管理
背景情况:
- 一般医生 (GPs) 在治疗亚托皮性皮肤炎 (AD) 患者方面发挥着至关重要的作用.
- 在一般实践环境中,对皮肤学指南的遵守仍然在很大程度上未经评估.
- 了解守对于优化AD患者护理至关重要.
研究的目的:
- 评估全科医生对荷兰AD指南的认知遵守情况.
- 识别医生在应用AD指南时遇到的感知障碍.
- 探索坚持和识别障碍之间的关系.
主要方法:
- 在荷兰 (391名全科医生) 进行了一项调查 (2021年12月 - 2022年5月).
- 一般医生自我报告了与五个关键的AD指南建议有关的遵守和障碍.
- 斯皮尔曼的等级相关性被用来分析坚持和障碍之间的关联.
主要成果:
- 213名全科医生 (54%的响应率) 参加了调查.
- 感知依从度差异很大 (43.7%98.1%),局部皮质类固醇 (TCS) 建议的比例最低.
- 患者因素 (65.6%) 和适用性问题 (29.5%) 是最常见的障碍;知识和态度障碍与坚持有很强的相关性.
结论:
- 全科医生遵守AD指南是不一致的,在实施局部皮质类固醇推方面存在显著挑战.
- 与患者相关的因素,以及知识和态度障碍,显著影响坚持.
- 针对知识和态度改进的目标是加强GP遵守AD指南和改善患者结果的必要条件.
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