药物治疗任务的表现:患者报告结果,基于表现的评估和客观评估之间的关系
Jaclyn K Schwartz1, Katherine Aylmer2, Samara Green3
1Jaclyn K. Schwartz, PhD, OTR/L, FAOTA, is Assistant Professor, Program in Occupational Therapy, School of Medicine, Washington University in St. Louis, St. Louis, MO; jaclyns@wustl.edu.
概括
药物管理的标准化评估显示,对预测家庭表现的有效性很差. 职业治疗从业者应谨慎使用多种方法来评估客户在家中的坚持.
科学领域:
- 职业治疗是一种职业疗法.
- 健康研究成果研究结果
- 药物治疗的坚持 药物治疗的坚持
背景情况:
- 职业治疗从业者依靠标准化的评估做出临床决策.
- 评估绩效的转化到现实世界的家庭功能,特别是药物坚持,仍然不清楚.
研究的目的:
- 评估患者报告的结果和基于绩效的评估的并发和预测有效性.
- 评估它们在监测家庭药物管理和遵守方面的有用性.
主要方法:
- 一项涉及60名社区成年人高血压或中风的探索性研究.
- 参与者完成了各种药物管理评估,并使用电子药片盖来监测1个月的服药.
主要成果:
- 患者报告的结果和基于绩效的评估表明并发和预测有效性不佳.
- 在评估能力和实际家庭药物坚持之间存在很大的差距.
结论:
- 标准化评估对预测实际家庭药物坚持能力有限.
- 职业治疗从业者应使用评估,临床推理和客户偏好的组合来有效地监测家庭表现.
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