晚期慢性病患者激活:一个横截面研究
Laura E Lunardi1,2, Richard K Le Leu3,4, Lisa A Matricciani5
1Central Northern Adelaide Renal and Transplantation Service, South Australia, Australia. laura.lunardi@mymail.unisa.edu.au.
Journal of nephrology
|February 12, 2024
概括
在患有慢性病 (CKD) 第5期前透析患者中,患者激活率较低. 改善激活需要考虑患者的年龄和教育,以便更好地进行自我管理和医疗保健决策.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 健康心理学 心理健康心理学
- 公共卫生 公共卫生
背景情况:
- 患者激活,定义为对慢性疾病管理的知识,信心和技能,对于有效的自我管理至关重要.
- 慢性病 (CKD) 的增强自我管理与改善患者体验和健康结果有关.
研究的目的:
- 在透析治疗前,评估患有5期慢性病患者的患者激活水平.
- 确定患者激活和社会人口统计学因素,治疗坚持和医疗利用之间的关联.
主要方法:
- 该研究包括来自澳大利亚脏护理服务的204名不接受透析的CKD第5阶段的参与者.
- 用患者激活度 (PAM-13) 测量患者激活度.
- 收集了社会人口统计数据,药物坚持 (莫里斯基药物坚持量表) 和医疗保健使用 (急诊,入院) 的数据.
主要成果:
- 平均PAM-13得分为53.4,其中73%的参与者表现出低激活水平 (1和2).
- 较低的激活与较大年龄相关 (P < 0.001) 和较高的激活与增加的教育相关 (P < 0.001).
- 较高的患者激活与更少的急诊室访问 (P = 0.03) 和更好的药物坚持 (P < 0.001) 有关.
结论:
- 在透析前5期CKD患者的低患者激活率表明自我管理和明智的医疗保健决策的能力有限.
- 促进患者激活的干预措施应考虑年龄和教育背景的影响.
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