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患者的压力,焦虑,抑郁和药物坚持行为之间的关系:一个横截面研究
Marzieh Khatooni1, Sara Rahimi1, Mahdie Bahrami1
1Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
严重的抑郁和焦虑显著预测患者的药物坚持不佳. 解决心理健康问题对于改善病护理治疗结果至关重要.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 临床药房 临床药房
背景情况:
- 影响全球数以百万计的人,需要有效的药物治疗来控制发作.
- 像抑郁症和焦虑症这样的精神健康并发症在患者中很普遍.
- 对抗药物 (AED) 的不良坚持是管理中的一个重大挑战.
研究的目的:
- 检查压力,焦虑和抑郁症与患者药物坚持之间的关联.
- 确定影响抗药物的坚持的心理因素.
主要方法:
- 一项涉及Qazvin的Boo Ali Sian医院235名患者的横截面研究.
- 数据采集使用社会人口和临床形式,莫里斯基药物坚持度表 (MMAS-8) 和抑郁焦虑压力度表-21 (DASS-21) 的数据.
- 统计分析采用调整的多变量逻辑回归.
主要成果:
- 观察到抑郁症 (75.3%),焦虑症 (71.9%) 和压力 (67.2%) 的高患病率.
- 61.8%的患者表现出适当的药物坚持,而38.3%的患者坚持不良.
- 严重和极度严重的抑郁和焦虑是药物坚持不良的重要预测因素 (P <0.05),而压力水平则不是.
结论:
- 严重和极度严重的抑郁和焦虑是不坚持抗药物的关键预测因素.
- 将心理健康支持纳入护理计划可以提高患者的药物坚持和结果.
- 医疗保健提供者在治疗时应优先考虑心理健康.
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