在COPD和/或喘患者的共同决策和药物坚持:ANANAS研究
Maria Achterbosch1, Priya Vart1, Liset van Dijk2,3,4
1Department of Clinical Pharmacy and Pharmacology, University Medical Centre Groningen, University of Groningen, Groningen, Netherlands.
Frontiers in pharmacology
|November 13, 2023
概括
共享决策 (SDM) 与COPD和喘患者的药物坚持没有关联. 需要进一步的研究,以了解如何改善吸入药物的坚持.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 患者坚持的研究研究.
- 健康心理学 心理健康心理学
背景情况:
- 对COPD和喘患者来说,吸入疗法的药物坚持是一个重大挑战.
- 促进共享决策 (SDM) 增强坚持,但经验证据有限.
- 目前患者对SDM的体验及其与坚持的联系仍然不清楚.
研究的目的:
- 评估荷兰COPD/喘患者中SDM的患病率和药物坚持程度.
- 探索SDM和药物坚持之间的关系.
- 调查潜在的调解机制,包括自决理论构造.
主要方法:
- 跨截面观察性研究涉及396名荷兰患者使用吸入药物.
- 使用吸入器坚持测试 (TAI-10) 坚持和9项共享决策问卷 (SMD-Q-9) 的SDM.
- 评估了作为潜在调解者的能力,相关性和自主性的感觉.
主要成果:
- 平均SDM得分为26.7 (SD 12.1),其中41.2%的患者实现了完全遵守.
- 在SDM和药物坚持之间没有发现统计学上显著的关联 (OR1.01,95%CI:0.99,1.02).
- 心理因素的调解作用是最小的 (<3%).
结论:
- 经验丰富的SDM和COPD和喘患者的药物坚持水平都需要改进.
- 该研究没有发现证据表明SDM会影响该人群的药物坚持.
- 与自决理论相关的心理因素无法解释缺乏关联.
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