在乌干达卡穆利区,影响患者坚持基于素的疟疾联合治疗的因素
Charles Bawate1, Sylvia T Callender-Carter2, Bernard Guyah3
1Kamuli General Hospital-Kamuli District Local Government, Kamuli, Uganda. charlesbawate@yahoo.com.
Malaria journal
|January 3, 2024
概括
在乌干达,基于美素的组合疗法 (ACT) 的患者坚持率为69.7%. 影响遵守的关键因素包括对ACT准入的满意度和保存ACT药物的历史,突出了改善疟疾控制策略的领域.
科学领域:
- 疟疾学 疟疾学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 基于美素的组合疗法 (ACT) 对于控制疟疾至关重要.
- 患者对ACT的坚持有所不同,需要对影响因素进行研究.
- 这项研究调查了乌干达卡穆利的坚持决定因素.
研究的目的:
- 确定影响患者遵守疟疾治疗ACT的因素.
- 为了确定乌干达人口中坚持的预测因素.
主要方法:
- 一项纵向研究招募了8个医疗机构的1266名参与者.
- 统计分析包括学生t测试,奇平方测试和多变量逻辑回归.
- 评估了坚持,并分析了与之相关的因素.
主要成果:
- 在844名被分析的参与者中,患者对ACT的整体坚持率为69.7%.
- 两变量分析显示了坚持和年龄,家庭主管,就业,ACT偏好,指令,满意度,药物知识,保存ACT和共享ACT之间的关联.
- 多变量分析确定了对ACT访问的满意度 (OR=3.063),保存ACT的历史 (OR=4.088),共享ACT (OR=2.134) 和家庭负责人 (OR=2.817) 是重要的预测因素.
结论:
- 在被研究的人群中,患者对ACT的坚持通常很好.
- 保存和共享ACT等做法对有效的疟疾控制构成威胁.
- 建议对遵守和改善药品供应链管理进行教育.
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