使用患者一级因素对慢性瘤疾病代表性概况的表征
Eleanor Rivera1, Nathan Tintle2, Raymond R Townsend3
1University of Illinois Chicago, Chicago, IL, USA. sriver25@uic.edu.
Journal of nephrology
|May 10, 2024
概括
了解慢性病 (CKD) 患者的疾病感知可以识别面临不良结果风险的群体. 根据这些感知来定制护理可能会减少住院治疗.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 疾病的感知显著影响患者的结果,包括应对和坚持.
- 慢性病 (CKD) 的管理需要了解个体患者的观点.
- 识别不同的疾病感知概况可以帮助个性化患者护理.
研究的目的:
- 探索成年人患有CKD的疾病感知集群的定义特征.
- 根据他们对慢性病的独特观点来确定患者的个人资料.
- 了解CKD患者疾病感知集群中团体成员资格的驱动因素.
主要方法:
- 利用了来自慢性功能不足队列研究 (CRIC) 的横截面数据.
- 使用修订的疾病感知问卷来收集数据.
- 进行了聚类分析和包括线性回归在内的双变量分析.
主要成果:
- 确定了三个不同的疾病感知群体:"不参与" (n=20),"资源充足" (n=108),和"痛苦" (n=69).
- "资源充足"组显示出高CKD知识和药物坚持,而"困扰"组报告了更高的症状负担和抑郁症.
- "脱离"的个体对CKD的了解很低,并感知到负担,经常住院治疗. 组成员预测住院几天.
结论:
- 在CKD患者中,疾病感知群与住院频率有关.
- 这些感知群体似乎独立于许多常见的患者特征.
- 根据特定疾病感知概况定制医疗护理可能会改善风险CKD患者的健康结果.
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