关于患者心脏代谢药物的目的的患者知识差距的普遍性
Alexander Chaitoff1,2,3, Alexander R Zheutlin4, Miguel Linares5,6
1Veterans Affairs Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA. amchait@med.umich.edu.
Journal of general internal medicine
|February 10, 2025
概括
许多美国成年人对他们的心脏代谢药物缺乏了解,在使用抗高血压药物方面发现了重大缺陷. 老年人和服用多种药物的患者显示,他们不知道为什么要服用处方药的比例更高.
科学领域:
- 心血管医学 心血管医学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 患者对处方药物的了解对于有效的心脏代谢护理至关重要.
- 了解药物指示可以改善患者的药物守和健康结果.
研究的目的:
- 为了确定患者不知道他们的抗高血压,抗糖尿病或抗脂药物指示的全国患病率.
- 确定与药物知识缺陷相关的人口和临床因素.
主要方法:
- 使用国家健康和营养检查调查 (2013-2020) 进行的横截面研究.
- 包括报告使用心脏代谢药物的非机构化美国成年人.
- 知识缺陷定义为不知道或错误地说明药物的目的;通过自我报告和药瓶审查来评估.
主要成果:
- 大约4.9%的美国成年人服用心脏代谢药物 (超过300万人) 至少有一种知识缺陷.
- 缺陷最常见的是抗高血压药物 (4.5%).
- 患病率因特征而异,80岁以上 (12.9%) 和服用10种以上药物 (12.2%) 的成年人患病率较高.
结论:
- 虽然大多数患者对使用心脏代谢药物有合理的理由,但很大一部分患者表现出知识差距.
- 在不同的人口和健康配置文件中,知识缺陷存在显著差异,突出了针对性干预的领域.
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