评估测量多药患者药物坚持的方法:纵向和患者视角
Laura Mortelmans1,2, Eva Goossens3,4,5, Marjan De Graef3
1Department of Nursing Science and Midwifery, Centre for Research and Innovation in Care (CRIC), Nurse and Pharmaceutical Care (NuPhaC), Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium. laura.mortelmans@uantwerpen.be.
European journal of clinical pharmacology
|March 1, 2024
概括
患者愿意使用多种方法来测量药物服药. 结合药丸计数,日记和问卷提供了一种可行的方法来评估遵守和识别不遵守问题.
科学领域:
- 药理学和患者的坚持.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物坚持对治疗疗效至关重要,特别是在多药患者中.
- 准确测量药物坚持是有效的病人护理和改善结果的必要条件.
研究的目的:
- 评估患者愿意使用各种方法来测量出院后的药物守.
- 评估结合药丸计数,药物日记和遵守评估问卷的可行性和有效性.
主要方法:
- 一项横截面研究评估了患者愿意测量药物坚持性的意愿.
- 用药丸计数和患者记录的日记来监测两个月的坚持.
- 在家庭访问期间,进行了概率药物坚持量表 (ProMAS) 和可行性问卷.
主要成果:
- 观察到患者高意愿 (97-99%) 沟通依从性信息.
- 药丸计数被认为是最准确的坚持措施 (60%),其次是日记 (39%) 和ProMAS (1%).
- 药丸计数与ProMAS有显著的相关性,而日记和ProMAS之间有显著的相关性.
结论:
- 结合坚持测量工具是可行的,并提供全面的见解.
- 这种综合方法可以揭示坚持程度和导致不坚持的潜在问题.
- 这些发现支持综合策略,用于监测和改善药物服药.
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