医疗门诊病房的老年患者的药物坚持
Oluremi A Odubanjo1, Brent Tipping, Lara S Greenstein
1Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; and Division of Geriatric Medicine, Helen Joseph Hospital, Johannesburg. aodubanjoo@gmail.com.
概括
老年患者经常面临药物坚持方面的挑战. 这项研究发现,在患有多种慢性疾病的老年人中,依从性很高,但却存在诸如遗忘和害怕副作用等重大障碍.
科学领域:
- 老年医学 老年医学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 药物坚持对于管理老年人的慢性疾病至关重要.
- 老年患者通常有多种并发症,增加治疗复杂性.
- 坚持治疗的挑战会影响老年人的治疗结果和医疗费用.
研究的目的:
- 评估海伦约瑟夫医院老年患者的药物坚持率.
- 为了确定特定的与患者相关的障碍,影响该群体的药物坚持.
- 为改善慢性疾病的老年人遵守规则的策略提供信息.
主要方法:
- 一项前性,横截面研究,涉及130名老年患者 (≥65岁) 至少有两种慢性疾病.
- 使用药物坚持评分表和坚持障碍问卷进行数据收集.
- 用描述性统计和物流回归来进行数据分析.
主要成果:
- 观察到高坚持率 (96%),但所有参与者都报告至少有一个坚持障碍.
- 常见的障碍包括遗忘 (59%),害怕副作用 (39%) 和对药物的误解 (22%).
- 多药性影响了53%的患者;药物的可用性和负担能力也被认为是问题.
结论:
- 尽管高度坚持,但在多药和多病症的老年患者中仍然存在重大障碍.
- 解决诸如遗忘和健康信仰等障碍对于优化护理至关重要.
- 了解这些挑战可以帮助医疗保健提供者改善患者管理和遵守策略.
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