在儿童中促进药物遵守:一个横截面调查
Lijuan Zhang1, Ping Li2, Junping He1
1Department of Neurosurgery, Children's Hospital of Nanjing Medical University, Nanjing, Jiangsu province, China.
儿科的药物不合规是很常见的,影响超过30%的儿童. 父母的教育,收入,药物的数量和知识显著影响了坚持,需要有针对性的干预措施.
科学领域:
- 儿科神经学 儿科神经学
- 临床药房 临床药房
- 公共卫生 公共卫生
背景情况:
- 药物服药对于治疗儿童来说至关重要.
- 低于最佳的坚持会对治疗结果和预后产生负面影响.
- 了解影响合规性的因素对于有效的儿科治疗至关重要.
研究的目的:
- 确定儿科患者药物不服药的决定因素.
- 开发和验证一个预测模型,用于识别有违规风险的儿童.
- 为改善该群体的药物坚持提供临床策略的信息.
主要方法:
- 分析了168名患有的儿童队列.
- 评估了人口统计数据和药物合规性.
- 开发了一个预测模型,并使用ROC曲线分析评估其性能.
主要成果:
- 药物不合规率为32.74%.
- 父母的教育,家庭收入,药物数量和知识是不遵守规定的重要预测因素 (p < 0.05).
- 预测模型显示出良好的区分能力 (AUC = 0.713).
结论:
- 儿科的药物服药受社会经济因素和基于知识的因素的影响.
- 一个经过验证的预测模型可以帮助早期识别不合规患者.
- 这些发现支持开发有针对性的干预措施,以改善药物坚持.
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