对高血压老年人药物坚持的同行教育的成本效益:一个随机对照试验
Hossein Ranjbar1,2, Kobra Sadeghi-Vazin3, Mahmoud Bakhshi4,5
1Department of Nursing, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
BMC public health
|November 26, 2024
概括
同行教育显著改善了老年高血压患者的药物坚持. 这种方法也比标准教育更具成本效益,为医疗保健管理提供了有价值的战略.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 老年人的高血压管理需要有效的药物治疗策略.
- 同行教育显示出希望,但缺乏成本效益数据.
- 对高血压的老年患者来说,评估同行教育的成本效益至关重要.
研究的目的:
- 评估同行教育的成本效益,以提高老年高血压患者的药物坚持.
- 为了比较同行教育与例行护士教育对药物坚持的影响.
主要方法:
- 一项随机临床试验,涉及74名老年高血压患者.
- 干预组接受了六周的同行领导的教育;对照组接受了例行护士教育.
- 使用莫里斯基药物坚持度表在多个时间点测量药物坚持度.
主要成果:
- 与常规教育相比,同行教育显著改善了药物坚持得分 (p < 0.001).
- 在所有干预后 (3周和6周) 随访中,同行教育组的坚持得分更高.
- 同行教育方法比常规教育更具成本效益.
结论:
- 同行教育是一种有效且更具成本效益的方法,可以改善老年高血压患者的药物守.
- 医疗保健管理人员应该考虑实施同行教育计划,以提高坚持并降低成本.
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