护士主导的干预措施,以改善慢性疾病的药物坚持:系统性审查
Daniela Berardinelli1, Alessio Conti2, Anis Hasnaoui3,4
1Department of Public Health and Pediatrics, University of Torino, 10126 Torino, Italy.
Healthcare (Basel, Switzerland)
|December 17, 2024
概括
护士主导的干预措施,特别是面对面的访问,有望改善慢性疾病患者的药物坚持. 需要进一步的研究来完善粘附测量方法以获得更高的准确性.
科学领域:
- 护理 护理 护理
- 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:
- 药物不合规导致不良健康结果和增加医疗保健成本.
- 护士主导的慢性疾病患者干预措施的有效性需要进一步澄清.
研究的目的:
- 评估护士主导干预措施在增强慢性疾病成年人药物坚持方面的有效性.
主要方法:
- 在五个主要数据库 (MEDLINE,CINAHL,EMBASE,Cochrane图书馆,SCOPUS) 进行了全面的文献搜索.
- 包括的研究重点是护士主导的干预措施,用于治疗慢性疾病的成年人,不包括单次急性疾病干预措施.
- 分析了22项涉及5975名参与者的研究.
主要成果:
- 在7项研究中,面对面的护士干预在5项研究中显示了在药物坚持方面具有统计学意义的改善.
- 混合方法干预 (面对面和电话) 在9项研究中,在4项研究中显示出显著的坚持改善.
- 远程干预在6项研究中只有1项有效;在基于平板电脑和护士领导的教育之间没有发现显著差异.
结论:
- 护士领导的面对面干预似乎有效改善慢性疾病患者的药物坚持.
- 激励方法是这些干预中经常使用的策略.
- 由于当前药物坚持测量技术的潜在不准确性,建议进行进一步的研究.
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