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获得性沟通障碍患者的药物坚持:系统性审查
Shauna Bell1, Laura J Sahm2, Frank Moriarty3
1Department of Speech and Hearing Sciences, University College Cork, Cork, Ireland.
British journal of clinical pharmacology
|September 10, 2024
概括
与患者相关的因素对获得性沟通障碍患者的药物不服药有显著影响. 未来的研究必须赋予患者权力,并专注于特定的风险群体,如患有失语症的人.
科学领域:
- 神经学 神经学
- 通信科学 通信科学
- 药理学 药理学是指药理学的学科.
背景情况:
- 获得的沟通障碍,通常是中风,痴呆症或神经退行症的结果,在欧洲存在重大挑战.
- 药物坚持对于管理这些疾病至关重要,但有沟通障碍的患者面临更高的不坚持风险.
研究的目的:
- 确定影响获得性沟通障碍患者药物坚持的因素.
- 审查当前的干预措施和评估方法,以此种人群的药物坚持.
- 突出研究和实践中关于沟通障碍患者药物坚持的差距.
主要方法:
- 系统的文献审查遵循PRISMA和SWiM指南.
- 独立查,偏见风险评估和两个作者提取的数据.
- 包括八项相关研究,重点关注获得性沟通障碍患者的药物服药程度.
主要成果:
- 与患者相关的因素是药物不服药的主要驱动因素,其次是社会经济和与药物相关的因素.
- 对于这个患者群体来说,没有确立的黄金标准来评估或干预药物坚持.
- 在一半的研究中使用了护理人员代理,限制了患者在医疗保健决策中的自主权.
结论:
- 与患者相关的因素是理解和解决获得性沟通障碍中药物不服药的关键.
- 对于这一群体来说,有必要进行量身定制的干预措施和验证的评估工具.
- 未来的研究应该优先考虑特定的患者群体,例如患有失言症和认知沟通障碍的人,并确保患者参与.
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