成年人患者的患者激活和药物坚持
Journal of the American Pharmacists Association : JAPhA
|February 6, 2024
概括
患者激活显著预测慢性疾病和低健康素养的成年人的药物坚持. 这一发现凸显了评估患者激活的重要性,以改善坚持.
科学领域:
- 健康行为研究研究健康行为研究
- 患者的自我管理.
- 慢性疾病管理 慢性疾病管理
背景情况:
- 关于药物坚持和患者激活之间的关系,存在相互矛盾的结果.
- 多种因素可能会影响这种关系,需要进一步调查.
研究的目的:
- 评估慢性疾病和低健康素养 (HL) 的成年人患者患者激活和药物坚持之间的关联.
- 为了确定年龄,教育,性别和种族是否与患者激活有关.
主要方法:
- 使用了慢性疾病自我管理和药物坚持的自我报告问卷 (冈萨雷斯-卢坚持问卷).
- 使用希巴德的患者激活测量 (PAM) 来测量患者激活.
- 雇佣区块回归来分析人口学变量,教育和患者激活与坚持相关的情况.
主要成果:
- 包括301名参与者 (平均年龄58岁,53%为女性),平均患有6.6种慢性疾病.
- 高龄与更强的药物坚持有显著的关联.
- 患者激活测量 (PAM) 显著预测了更好的坚持 (P < 0.001),增加R平方的0.05 (中等效果大小).
结论:
- 患者激活是低健康素养的个体药物坚持的重要预测因素.
- 在基线评估患者激活可以帮助确定可能更坚持药物治疗的患者.
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