患病率和可修改的因素整体不遵守脏移植患者:一个跨部门研究
Manuel Torres-Gutiérrez1, Viviana Burgos-Camacho1, Jessica Paola Caamaño-Jaraba1
1Department of Mental Health, Colombiana de Trasplantes, Bogotá, Colombia.
Patient preference and adherence
|September 13, 2023
概括
大约三分之一的移植接受者表现出不坚持,影响了移植的存活率. 包括药物和预约在内的整体遵守评估对于更好的患者结果至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植医学 移植医学
- 健康心理学 心理健康心理学
背景情况:
- 对接受脏移植的接受者来说,遵守医疗治疗是至关重要的.
- 不坚持与糟糕的结果有关,包括移植损失 (64%) 和晚期急性排斥 (80%).
- 现有的遵守定义往往忽略了关键因素,如咨询和程序合规.
研究的目的:
- 确定移植患者整体不坚持治疗的流行率.
- 识别与不遵守相关的社会人口统计学和临床因素.
- 探索防止不坚持的保护因素.
主要方法:
- 对1030名移植患者的横截面研究 (2019年1月至2021年7月).
- 通过临床记录和半结构面试收集的数据,评估药物,预约和行为.
- 统计分析包括描述性统计,双变量分析和后勤回归.
主要成果:
- 在30.7%的患者中观察到不坚持.
- 不遵守的风险因素包括年龄较小,男性性别,单身状态,分担护理,移植后时间较长,精神病理学和仅限于护理的教育.
- 保护因素是年龄较大和多学科的强化学习.
结论:
- 整体性不坚持影响了大约三分之一的移植接受者.
- 更广泛的坚持定义,超越药物,识别更多的非坚持的个人.
- 未来的干预措施应侧重于可修改的因素,以改善粘附性和移植结果.
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