在初级保健中改善精神和身体多病症成年人服药的干预措施:系统性审查
Elena Lammila-Escalera1, Geva Greenfield1, Ziyang Pan1
1Department of Primary Care and Public Health.
概括
协调护理流程可以改善精神和身体健康状况的成年人对药物的坚持. 数字健康干预需要进一步的研究,以提高患者对药物治疗方案的坚持.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要医疗保健是一级医疗保健.
- 心理健康和身体健康
背景情况:
- 药物不服药会显著影响医疗保健的效率,患者的治疗结果和症状管理.
- 多病症,特别是精神和身体健康状况的组合,在医疗保健提供中提出了复杂的挑战.
研究的目的:
- 系统地审查旨在改善在初级保健机构内同时出现精神和身体健康状况的成年人服用药物的干预措施.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE,PsycInfo,Web of Science,Cochrane图书馆,CINAHL) 中进行了全面的系统文献审查.
- 干预措施使用有效实践和护理组织 (EPOC) 分类法进行分类,并通过叙事合成合成数据.
- 使用国家心脏,肺和血液研究所的质量评估工具来评估偏差风险.
主要成果:
- 包括11项涉及2279名患者的研究,重点关注身体状况和抑郁症的成年人.
- 专注于护理协调和护理流程管理的干预措施在药物坚持方面表现出了统计学上显著的改善.
- 在审查的研究中,信息和通信技术干预措施没有显示药物坚持的显著变化.
结论:
- 协调和管理的医疗保健过程显示,有望提高精神-身体多病症患者的药物坚持.
- 需要进一步调查,以了解数字卫生技术在支持患者坚持治疗中的作用.
- 对医疗保健的综合性方法对于解决多病症的复杂性至关重要.
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