轻度认知障碍与老年慢性病患者药物不服药之间的关联
Xiaoqin He1,2, Xinguo Wang1,2, Bin Wang3
1School of Graduate, Shanghai University of Traditional Chinese Medicine, Shanghai, CHN.
Cureus
|October 30, 2023
概括
轻度认知障碍 (MCI) 在老年患者中显著增加了药物不服药. 早期识别和干预MCI对于改善这一群体的治疗结果至关重要.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 药理学 药理学是指药理学的学科.
背景情况:
- 对于管理多种慢性疾病的老年患者来说,药物坚持是至关重要的.
- 轻度认知障碍 (MCI) 在老年人中很常见,但其对药物坚持的影响尚未完全理解.
研究的目的:
- 研究轻度认知障碍 (MCI) 对慢性疾病老年患者药物服药的影响.
主要方法:
- 一项涉及436名患有慢性疾病的老年患者 (≥60岁) 的横截面研究.
- 使用莫里斯基药物坚持度表-8 (MMAS-8) 评估药物坚持度.
- 使用迷你精神状态检查 (MMSE) 选的轻度认知障碍 (MCI);使用多变量逻辑回归.
主要成果:
- 48.6%的患者表现出不良的药物服药;41.5%的患者有MCI.
- MCI与药物不服药有显著的相关性 (OR=3.95).
- MCI仍然是不坚持药物的独立风险因素 (aOR=2.64);不良药物反应和药物效果评估不佳也显著.
结论:
- 轻度认知障碍 (MCI) 显著且独立地影响老年患者的不服药.
- 早期识别MCI和有针对性的干预措施对于改善药物坚持和健康结果至关重要.
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