在患有2型糖尿病和心血管并发症的老年人中,药物坚持及其相关决定因素
Ahmad Al-Azayzih1, Roaa J Kanaan1, Shoroq M Altawalbeh1
1Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
Patient preference and adherence
|December 5, 2023
概括
对于患有2型糖尿病和心血管疾病的老年患者来说,坚持药物治疗至关重要. 这项在约旦的研究发现,虽然许多老年患者的药物坚持良好,但需要有针对性的计划来改善药物坚持以获得更好的健康结果.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 患有2型糖尿病和心血管疾病 (CVS) 的老年患者经常面临药物坚持方面的挑战.
- 不良的坚持可以导致不良的健康结果,增加医疗保健成本,并降低生活质量.
研究的目的:
- 评估约旦老年患者的药物坚持水平,这些患者患有CVS疾病和2型糖尿病.
- 在这个特定的人群中确定药物不良坚持的预测因素.
主要方法:
- 一项涉及约旦国王阿卜杜拉大学医院 (KAUH) 506名老年患者的横截面研究.
- 通过电子医疗记录和验证的问卷收集的数据,包括阿拉伯版本的莫里斯基,格林和莱文药物坚持量表.
- 分析包括多变量顺序逻辑回归来确定坚持预测因子.
主要成果:
- 总体依守率高 (58.5%),观察到中度 (33.6%) 和低 (7.9%) 的依守率.
- 单身/未婚和与他人同居与更高的坚持相关 (OR分别为4.75和4.10).
- 与每天服用一次相比,每天服用两次或两次以上的药物与更高的坚持相关 (ORs 2.15和2.36).
结论:
- 在约旦,2型糖尿病和心血管并发症的老年患者中,药物坚持水平不足.
- 显然需要有针对性的计划来提高对在这个人口群体中坚持长期药物治疗方案的重要性的认识.
相关概念视频
Diabetes: Management and Pharmacotherapy
289
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
289
Drug Therapy
45
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
45
Diabetes Mellitus: Type 2 and Gestational
2.4K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.4K
Diabetes: Symptoms, Diagnosis, and Complications
554
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
554
Carbohydrate Metabolism
11.2K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.2K
Diabetes Mellitus: Overview and Type I Subtype
2.7K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.7K


