成人因心力衰竭住院后的药物坚持:一个横截面研究
Manuela Huber1,2, Ada Katrin Busch3, Irene Stalder-Ochsner4
1Educational Center for Health and Social, Weinfelden, Switzerland.
概括
超过四分之一的瑞士心力衰竭患者在住院后扎着药物坚持,通常是由于遗忘. 这凸显了在心力衰竭护理中需要改进坚持支持的需求.
科学领域:
- 心脏病学 心脏病学
- 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:
- 在心力衰竭 (HF) 中,不服药会显著增加死亡率,发病率和医疗费用.
- 没有先前的研究专门研究了瑞士HF患者在住院后不服药的情况.
研究的目的:
- 为了确定医院出院后心力衰竭患者药物不服药的患病率.
- 为了确定完全和部分坚持患者之间与治疗相关的非计划医疗保健访问的差异.
主要方法:
- 采用了横截面研究设计.
- 使用德语翻译的药物坚持报告尺度 (MARS-5) 测量了药物坚持.
- 进行了描述性分析和药物变量差异的探索,并进行了非计划性访问.
主要成果:
- 在153名被招募的患者中,有72名 (47%) 完成了调查.
- 很大一部分人 (26.4%) 没有完全服药.
- 遗忘是不坚持治疗的最常见原因 (23.7%),在治疗相关的变量或无计划的心脏病检查中没有发现显著差异.
结论:
- 这项研究揭示了瑞士心力衰竭患者中药物不服药的严重率.
- 心脏病护士需要加强对心力衰竭患者的坚持促进干预措施的培训.
- 进一步的研究和有针对性的干预措施对于改善心力衰竭管理中的药物坚持至关重要.
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