在应对多种慢性疾病的老年人中,治疗负担,健康素养和药物坚持之间的关系
Dharrshinee Selvakumar1, Palanisamy Sivanandy2, Pravinkumar Vishwanath Ingle2
1School of Postgraduate Studies, International Medical University, Kuala Lumpur 57000, Malaysia.
Medicina (Kaunas, Lithuania)
|August 26, 2023
概括
患有多种慢性疾病 (MCC) 的老年人经常因高治疗负担和有限的健康素养而难以遵守药物治疗. 解决这些因素对于改善这一群体的坚持是至关重要的.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 临床药房 临床药房
背景情况:
- 老年人经常管理多种慢性疾病 (MCC),导致复杂的治疗方案.
- 药物坚持是这一人口群体面临的重大挑战,影响健康结果.
- 治疗负担和健康素养被认为是遵守的关键决定因素.
研究的目的:
- 调查治疗负担和健康素养对MCC老年人药物坚持的影响.
- 探索人口和临床因素对这种关系的潜在缓解影响.
主要方法:
- 一项前性研究,涉及346名老年人 (≥60岁) 患有两种或多种慢性疾病.
- 面对面采访使用验证的问卷:治疗负担问卷 (TBQ-15),健康素养简单表格 (HLS-SF12) 和马来西亚药物坚持评估工具 (MyMAAT).
主要成果:
- 参与者报告了有限的健康素养 (平均得分16.4) 和药物不服药 (平均得分32.6).
- 药物坚持与治疗负担负相关 (r = -0.22),与健康素养正相关 (r = 0.36).
- 较高的治疗负担和较低的健康素养与多病症老年人较差的药物坚持有关.
结论:
- 较高的治疗负担和较低的健康素养是MCC的老年人服用药物的重大障碍.
- 临床干预应侧重于减轻治疗负担和提高健康素养,以改善药物服药.
- 需要有针对性的策略来支持这种脆弱人群的药物管理.
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