影响纤维肌痛女性药物坚持的因素:路径分析
Maria Prikhodkina1, Semyon Melnikov1
1Nursing Department, Steyer School of Health Professions, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Journal of clinical nursing
|January 29, 2024
概括
纤维肌痛患者的抑郁症与药物坚持不佳有关,感知到的耻辱和沟通问题起着关键作用. 解决这些因素可以改善纤维肌痛治疗的坚持.
科学领域:
- 医学科学 医学科学 医学科学
- 心理学 心理学 心理学
- 类风湿病学 类风湿病学
背景情况:
- 纤维肌痛是一种慢性疼痛疾病,其特点是疲劳,睡眠障碍和广泛的疼痛.
- 在纤维肌痛中,由于症状缓解不足,副作用和成本等因素,药物坚持往往不理想.
- 抑郁症,耻辱感,疾病严重程度,患者提供者沟通和纤维肌痛中药物坚持之间的相互作用仍然不清楚.
研究的目的:
- 调查抑郁症,感知耻辱感,疾病严重程度,患者提供者沟通和纤维肌痛患者的药物坚持之间的关系.
- 探索这些因素如何影响治疗坚持.
- 开发一个全面的模型,说明纤维肌痛中这些变量之间的相互联系.
主要方法:
- 采用了横截面,相关性研究设计,遵守STROBE指南.
- 141名患有纤维肌痛的希伯来语妇女从Facebook群组中招募,填写了经过验证的问卷.
- 措施包括患者健康问卷-9 (抑郁症),感知耻辱感,修订的纤维肌痛影响问卷 (疾病严重程度),患者反应评估 (患者与提供者沟通) 和莫里斯基药物坚持量表 (MMAS-8).
主要成果:
- 大多数参与者 (53.2%) 表现出较低的药物坚持.
- 抑郁症与感知到的耻辱正相关,而耻辱与患者提供者沟通负相关.
- 患者与提供者之间的沟通与治疗坚持有积极的相关性,并观察到抑郁症通过耻辱和沟通对坚持有显著的间接影响.
结论:
- 在患有纤维肌痛的女性中,感知到的耻辱和患者-提供者沟通是抑郁症和治疗坚持之间的重要调解者.
- 旨在减少纤维肌痛相关的耻辱和加强有效的患者-提供者沟通的干预措施对于改善药物坚持至关重要.
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