在高血压患者中,通常的护理来源与药物坚持之间的相关性
Han-Kil Kang1, Nak-Jin Sung1,2
1Department of Family Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.
Korean journal of family medicine
|November 26, 2023
概括
有一个定期的医生显著改善了高血压患者的药物坚持. 这凸显了持续的初级保健对于管理慢性疾病和确保治疗有效性的重要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 临床药房 临床药房
背景情况:
- 维持通常的护理来源 (USC) 对于提供初级医疗保健至关重要.
- 有限的研究存在于USC和高血压中药物坚持之间的联系.
- 本研究通过检查USC与高血压患者药物坚持之间的关联来解决这一差距.
研究的目的:
- 为了研究具有通常的护理来源 (USC) 和药物坚持之间的关联.
- 为了确定是否有一个常规的医生影响在高血压管理药物坚持.
- 为韩国医疗保健政策制定提供证据.
主要方法:
- 对2020年第二次韩国卫生小组调查数据的分析.
- 包括3318名被诊断患有高血压的成年参与者.
- USC的分类是没有USC,只有地方,和正规的医生团体.
- 使用详细项目和4点利克特度量表来评估药物坚持.
- 后勤回归分析控制相关的共变量.
主要成果:
- 与没有USC (ORs从1.59到2.47) 患者相比,有常规医生的患者的完美/高药物坚持率显著更高.
- 在包括剂量,频率和时间在内的各种坚持方面,注意到了显著的改善.
- "只在位"组在坚持剂量方面没有显著差异,除了完美的剂量坚持 (OR,1.35).
结论:
- 定期看医生与高血压患者更好的药物坚持有很强的关联.
- 调查结果支持鼓励在韩国医疗保健系统内建立定期医生关系的政策.
- 通过定期访问医生来加强初级保健可以改善慢性疾病管理.
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