用患者教育材料在美国大型医疗保健系统中实施旨在减少二胺类药物处方的干预措施:与对照组进行前/后观察性研究
Tammy M Le1, Scott Campbell2, Alexa Andraos2
1David Geffen School of Medicine, Los Angeles, California, USA.
BMJ open
|April 3, 2024
概括
在美国初级保健机构中,患者对二二类药物风险的教育显著增加了停药率. 这项质量改进倡议展示了EMPOWER计划的优势.
科学领域:
- 主要护理是指初级护理.
- 提高质量 提高质量
- 药理学 药理学是指药理学的学科.
背景情况:
- 长期使用二胺药物存在重大风险.
- 加拿大最初的EMPOWER研究表明,患者教育有效地增加了二类药物戒断.
- 研究了将这一举措适应美国医疗保健系统.
研究的目的:
- 评估美国初级保健机构适应的EMPOWER质量改善计划在美国初级保健机构的有效性.
- 为了确定患者教育是否可以促进二二类药物停用.
- 评估干预对九个月的戒烟率的影响.
主要方法:
- 采用了一个前后设计,使用了一个非随机对照组.
- 22名初级保健医生和308名患者获得了教育材料 (小册子,信件,传单).
- 一个由4名初级保健医生和291名患者组成的对照组没有接受干预.
主要成果:
- 在9个月后,26%的干预患者停止了使用类药物,而对照组只有17%.
- 干预患者中断治疗的几率是治疗中断的1.73倍 (95% CI:1.09,2.75,p=0.02).
- 治疗所需人数为10.5,绝对风险降低为0.095.
结论:
- 使用EMPOWER小册子的患者教育计划显示,在初级保健中促进二类药物戒断具有潜力.
- 这项质量改进倡议提出了一个可行的策略,以减少长期使用二.
- 这些发现支持EMPOWER模型在各种医疗保健环境中的更广泛适用性.
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