探索主观福祉对药物坚持的影响:在多种慢性疾病患者中进行的横截面研究
Mohamad Ismail1, Mayssah El-Nayal2, Souraya Domiati3
1Department of Pharmacy Practice, Faculty of Pharmacy, Beirut Arab University, Beirut, Lebanon.
Exploratory research in clinical and social pharmacy
|September 17, 2024
概括
在患有慢性疾病的黎巴嫩人中,药物不服药很普遍,与较低的主观幸福感有关. 教育和医疗保健等因素影响了坚持,强调了有针对性的干预措施的需要.
科学领域:
- 药理学和卫生服务研究 研究 药理学和卫生服务研究
- 心理学和行为医学 心理学和行为医学
- 公共卫生和流行病学
背景情况:
- 药物不服药是实现最佳治疗结果的一个重大障碍.
- 这项研究调查了在管理多种慢性疾病的黎巴嫩人中主观幸福感 (SWB) 和药物坚持之间的关系.
- 它还旨在确定在这个特定人群中对坚持的其他促成因素.
研究的目的:
- 探索主观幸福感 (SWB) 与药物坚持之间的关联.
- 确定在黎巴嫩多种慢性疾病患者中药物坚持的预测因素.
- 为培养文化相关干预措施的发展提供信息,以改善治疗坚持.
主要方法:
- 在三个月内,在六家社区药房进行了一项探索性,横截面研究.
- 药物坚持度是使用坚持补充和药物尺度阿拉伯语黎巴嫩版 (ARMS-A) 来衡量的.
- 用经过验证的尺度来评估主观幸福感,包括阿拉伯幸福度表 (ASH),生活爱度表 (LLS),阿拉伯希望度表 (AHS) 和对生活满意度表 (SWLS).
- 统计分析包括斯皮尔曼的Rho相关性和二进制后勤回归来检查关联并确定预测因素.
主要成果:
- 在400名参与者中,只有26.5%的人表现出对药物的坚持.
- 较低的药物坚持,由较高的ARMS-A得分表明,与较低的SWB显著相关 (p=0.01).
- 多变量分析显示,较低的教育程度,缺乏特定的饮食和频繁的医院/急诊访问与不遵守的可能性增加有关.
- 相反,更高的收入,医疗保健提供者职业和糖尿病诊断与更好的药物坚持有关.
结论:
- 很大一部分患有慢性疾病的人表现出不遵守处方药物的情况.
- 多方面的社会经济,心理和健康相关因素影响药物服药.
- 适应文化,由药剂师领导的干预措施对于提高药物坚持和改善整体健康结果至关重要.
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