对于那些不同意抑郁症推的老年人来说,重要因素
Kristie Rebecca Weir1,2, Jenny Shang3, Jae Choi3
1Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.
JAMA network open
|October 11, 2023
概括
年长的成年人经常质疑抑郁症的推,因为他们对药物的价值和对变化的恐惧. 加强沟通和考虑患者的偏好,可以改善对抑郁症治疗计划的同意.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 患者的坚持 患者的坚持
背景情况:
- 老年人经常拒绝处方建议,对潜在原因的理解有限.
- 干预性研究很少捕捉到患者对为什么拒绝抑郁症的观点.
研究的目的:
- 调查影响老年人不同意抑郁症推的因素.
- 了解与拒绝抑郁症相关的态度,信念和恐惧,在多药学的背景下.
主要方法:
- 在英国,美国,澳大利亚和荷兰,对899名65岁以上的参与者进行了基于图片的在线调查.
- 内容分析是对不同意假设抑郁症推的参与者的自由文本反应进行的.
主要成果:
- 不同意的主要原因包括对抑郁症的怀疑 (40.2%),对当前药物的评价 (15.5%),以及避免改变的偏好 (14.7%).
- 不同意的参与者,而不是强烈不同意的参与者,对增强沟通 (28.2%),替代策略 (16.9%) 和考虑个人药物偏好 (17.6%) 更感兴趣.
结论:
- 与抑郁症推意见的不同意程度与患者的具体需求和担忧有关.
- 定制以患者为中心的沟通,专注于改善对话,替代方法和个人偏好,可以提高老年人群对抑郁症的接受度.
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