一般人群中的高药物不服药率及其驱动因素:使用OMAS-37服药调查工具进行的横截面研究
Rønnaug Eline Larsen1, Ala Karimi1, Tonje Krogstad1
1Deparment of Pharmacy, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
概括
许多患者因忘记或感知健康状况改善而扎于药物坚持. 这项研究强调了需要个性化干预来改善药物治疗结果的必要性.
科学领域:
- 卫生科学 卫生科学 卫生科学
- 药房实践 在药房实践中
- 行为医学是一种行为医学.
背景情况:
- 药物坚持对于最佳健康结果至关重要,但患者之间存在显著的差异.
- 了解服用药物的行为,障碍和信仰对于开发有效的坚持干预措施至关重要.
研究的目的:
- 评估一般人群中的药物不服药及其原因,使用奥斯陆医院的药物不服药调查工具 (OMAS-37).
- 为了比较不同患者子组 (心血管,疼痛,心理健康) 的坚持水平和不坚持原因.
主要方法:
- 一项涉及挪威812名药物使用者的横截面研究.
- 利用OMAS-37工具量化了坚持,并确定了37个不坚持的独特原因.
- 克鲁斯卡尔-瓦利斯试验用于一般人群和患者子组之间的统计比较.
主要成果:
- 64%的参与者表现出高的不坚持得分.
- 不服药的主要原因包括遗忘 (42%),感知健康改善 (40%) 和对药物不良反应的恐惧 (39%).
- 积极的坚持因素包括年龄较大,高等教育,共享决策和使用药丸组织器. 心血管疾病患者表现出比疼痛和心理健康小组更好的坚持.
结论:
- OMAS-37工具揭示了不同患者群体中高水平的药物不服药和各种原因.
- 这些发现强调了有针对性的,个性化的坚持干预措施的必要性,以改善药物治疗结果.
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