高血压的老年人的药物坚持:系统性审查
Suebsarn Ruksakulpiwat1, Nicholas K Schiltz2, Elliane Irani2
1Department of Medical Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand.
Patient preference and adherence
|May 13, 2024
概括
高血压的老年人中低药量坚持是一个重要的问题. 诸如药物的数量,财务状况和患者与医生的关系等因素影响了患者的服药,突出了需要干预的领域.
科学领域:
- 老年学是一门学科.
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高血压 (HTN) 是一个主要的全球健康问题,增加中风和心脏病的风险,特别是在老年人.
- 抗高血压药物对于控制血压和预防并发症至关重要.
- 患有HTN的老年人中药物坚持率低,这对有效的疾病管理构成了重大挑战.
研究的目的:
- 系统地识别和综合影响高血压诊断的老年人药物坚持的因素.
- 为开发有针对性的干预措施提供基于证据的见解,以改善遵守.
主要方法:
- 在PubMed,MEDLINE和Google Scholar (2022年7月) 中使用PRISMA指南进行系统的文献搜索.
- 来自乔安娜·布里格斯研究所的数据合成融合综合分析框架.
- 在选了448篇初始文章后,包括了13项研究.
主要成果:
- 确定了影响药物坚持的15个主题.
- 最常见的因素包括:药物数量 (53.9%),财务状况 (38.5%),性别 (38.5%),年龄 (30.1%),疾病持续时间 (23.1%),并发症 (23.1%),以及健康遵守 (23.1%).
- 其他确定的主题包括教育,健康素养,信仰,自我效能和社会支持.
结论:
- 调查结果强调了开发创新,基于证据的计划的关键领域,以加强高血压老年人药物坚持.
- 改善的坚持可以导致更好的健康结果和预防与高血压相关的严重并发症.
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