了解克罗恩病患者的药物不服药:一种定性评估
Robert E Brady1, Jessica K Salwen-Deremer1,2, Natalie C Tunnell1,3
1Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Inflammatory bowel diseases
|December 22, 2023
概括
许多克罗恩氏病 (CD) 患者在药物坚持方面扎. 对科学和医疗服务提供者的信任提高了患者的坚持,而自我管理的信念和对药物的担忧则导致CD患者的不坚持.
科学领域:
- 胃肠病学 胃肠病学
- 健康心理学 心理健康心理学
- 行为科学 行为科学
背景情况:
- 免疫修饰药物对于克罗恩病 (CD) 管理至关重要.
- 很大一部分CD患者 (大约. 40%的人表现出不遵守规定的治疗方案.
- 不遵守导致严重并发症,包括住院和手术.
研究的目的:
- 确定影响克罗恩病患者服药或不服药的关键因素.
- 了解患者对有关免疫修饰疗法的决策的看法.
主要方法:
- 有关25名被诊断患有克罗恩病的患者的半结构面试的定性研究.
- 患者被分为坚持或不坚持胃肠科医生对药物建议的患者.
- 使用归纳-归纳方法的内容分析被用来识别新出现的主题.
主要成果:
- 两个主要主题领域出现了:与理论领域框架一致的主题和特定于CD药物决策的新主题.
- 坚持患者对科学证据和医疗保健提供者的专业知识表现出信心.
- 不坚持患者经常表达对自我管理的信心,对药物风险的担忧,以及治疗矛盾.
结论:
- 认知,行为和关系因素在克罗恩病中显著影响患者的药物坚持决策.
- 了解这些具体因素对于开发有针对性的干预措施至关重要,以提高对基于证据的治疗方法的坚持.
- 解决患者的信念和担忧可以加强治疗联盟,并改善克罗恩病管理的结果.
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