在接受长期血液透析的患者中,信任,多维健康素养和药物坚持
Ryohei Inanaga1,2, Tatsunori Toida1,3, Tetsuro Aita1,4
1Department of Clinical Epidemiology, Graduate School of Medicine, Fukushima Medical University, Fukushima, Japan.
Clinical journal of the American Society of Nephrology : CJASN
|December 21, 2023
概括
医生信任调解了透析患者的健康素养和药物坚持之间的关系. 功能性和沟通性健康素养提高了坚持,而关键健康素养阻碍了它,信任起着关键作用.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗保健服务研究 医疗服务研究
- 患者的坚持 患者的坚持
背景情况:
- 健康素养和医生信任对于透析患者的药物坚持至关重要.
- 卫生素养不同维度的具体作用和医生信任的调解效应需要进一步研究.
研究的目的:
- 评估血液透析患者的健康素养,医生信任和药物坚持之间的相互关系.
- 研究医生信任在健康素养和药物坚持之间关系中的调解作用.
主要方法:
- 一项多中心的横截面研究,涉及455名接受门诊血液透析的日本成年人.
- 测量多维健康素养 (功能性,沟通性,关键性),医生信任和药物坚持,使用经过验证的尺度.
- 使用一般线性模型和调解分析进行分析,以探索关联和调解效应.
主要成果:
- 更高的功能和沟通健康素养与更少的药物坚持困难有关.
- 更高的临界健康素养与更大的药物坚持困难有关.
- 医生信任部分或完全调解了健康素养和药物坚持的不同维度之间的关联.
结论:
- 功能性和沟通性健康素养对药物坚持有积极影响,而关键健康素养则具有负面关联.
- 医生信任在透析患者的健康素养维度和药物坚持之间的关系中是一个重要的调解者.
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