为马来西亚高血压患者开发和验证药物不服药量表:一种混合方法研究
Sheng-Qian Yew1, Kit-Aun Tan2, Ahmad Iqmer Nashriq Mohd Nazan3
1Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia.
这项研究开发了马来西亚抗高血压剂不坚持量表 (MAANS) 来评估局部高血压患者的药物坚持率. 该MAANS是一个可靠的,有效的工具,以了解不坚持因素和改善患者的结果.
科学领域:
- 社会医学研究社会医学研究
- 预防医学 预防医学
- 临床心理学 临床心理学
背景情况:
- 在高血压中不服药会增加并发症的风险.
- 现有的坚持尺度缺乏有效性,维度和文化适应性.
- 开发一个与文化相关的尺度对于有效的高血压管理至关重要.
研究的目的:
- 开发和验证马来西亚抗高血压剂不合规度表 (MAANS).
- 创建一个可靠和有效的衡量方法来评估不服药的抗高血压药物.
- 为马来西亚当地高血压患者提供一个工具.
主要方法:
- 采用了两阶段混合方法的方法.
- 定性访谈为MAANS提供了信息,为MAANS生成项目.
- 探索性和确认性因子分析验证了尺度的结构和可靠性.
主要成果:
- 最终的14项,三因素的MAANS被开发出来.
- 这些因素包括感知不易受感染,医生患者关系不佳和不健康的生活方式.
- 该尺度表现出中等可靠性 (克朗巴赫α=0.64) 和部分预测有效性.
结论:
- MAANS是一个可靠,有效和多维的尺度,用于评估抗高血压药物不服药.
- 它适合在马来西亚当地临床环境中使用.
- 马恩斯可以推进社会医学和预防医学的研究和实践.
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