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探索患者不服药背后的因素 内抗血管内皮生长因子注射 在黄斑疾病中
Efrat Naaman1, Noa Yanir-Prat2, Diana Shair-Nakhleh1
1Department of Ophthalmology, Rambam Health Care Campus, Haifa, Israel.
Ophthalmic research
|January 27, 2025
概括
许多患者因疾病,管理问题或缺乏动机而错过了黄斑疾病的内注射 (IVT). 解决运输和安排障碍可以改善治疗坚持和视觉结果.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 血管内皮生长因子 (VEGF) 抑制剂的静脉内注射 (IVT) 是黄斑疾病的标准.
- 频繁注射会给患者带来负担,不坚持可以使视觉结果恶化.
研究的目的:
- 确定在接受抗VEGF IVT的患者中错过预约的原因.
- 了解影响黄斑疾病治疗坚持性的可修改因素.
主要方法:
- 对错过抗VEGF IVT预约的患者进行横截面研究.
- 通过电话调查和医疗病历审查收集的数据.
主要成果:
- 18%的患者错过了计划中的抗VEGFIVT.
- 错过预约的主要原因包括并发疾病 (39%),行政问题 (28%) 和缺乏动力 (11%).
- 73%的人需要陪伴,74%的人住在医院城外.
结论:
- 诸如运输,行政复杂性和重新安排困难等可修改的因素有助于错过IVT.
- 解决这些障碍对于提高患者的坚持和改善黄斑病管理中的临床结果至关重要.
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