COVID-19和自身免疫性类风湿性疾病:患者在疫情期间采取的行为变化
Dzifa Dey1, Bright Katso2, Saudatu Issaka2
1Department of Medicine and Therapeutics, University of Ghana Medical School, Accra, Ghana.
Internal medicine journal
|May 31, 2024
概括
患有自身免疫性风湿性疾病 (AIRD) 的患者在COVID-19期间适应了行为,包括远程医疗的使用和药物调整. 大多数患者保持了对处方免疫抑制剂的坚持,尽管与大流行有关的焦虑.
科学领域:
- 类风湿病学 类风湿病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 对自身免疫性风湿性疾病 (AIRD) 患者严重的COVID-19结局的担忧需要了解他们的行为反应.
- 疫情改变了医疗保健环境,促使对患者适应性的调查.
研究的目的:
- 在被诊断患有AIRD的患者中调查COVID-19驱动的行为变化.
- 分析药物使用,医疗服务利用和遵守临床建议的变化.
主要方法:
- 一项观察性研究,涉及来自风湿病诊所的233名患者.
- 通过通过WhatsApp分发的调查问卷收集的数据.
主要成果:
- 显著的行为变化包括降低氧化 (HCQ) 剂量,增加远程医疗的采用,以及严格遵守预防性健康措施.
- 患者报告说,他们担心感染COVID-19,感染家人以及损失收入.
- 自我隔离在妇女和学生中更为常见;有工作的个人实行社交距离,并担心收入损失.
结论:
- 在AIRD患者中,COVID-19大流行引发了显著的行为变化.
- 尽管存在风险,但大多数患者仍然坚持服用处方药,特别是传统的免疫抑制剂.
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