自我研究为基础的知情决策工具,以赋予慢性心力衰竭患者治疗坚持权力-试点研究
Lea Iten1, Kevin Selby2, Celine Glauser1
1Cardiology, Cardiovascular Department, University Hospital, University of Lausanne, 1011 Lausanne, Switzerland.
Healthcare (Basel, Switzerland)
|March 28, 2025
概括
一个新的工具改善了心力衰竭 (HF) 患者对其疾病和治疗需求的理解. 然而,这并没有增加他们坚持药物处方的意愿,因为仍有未解答的问题.
科学领域:
- 心脏病学 心脏病学
- 患者坚持的研究研究.
- 健康教育 卫生教育 教育
背景情况:
- 心力衰竭 (HF) 患者往往表现出对处方药物的不理想坚持.
- 知情决策是提高HF患者药物坚持的潜在策略.
- 开发有效的工具来支持患者的理解和坚持是管理慢性疾病,如高频率至关重要的.
研究的目的:
- 评估基于自我研究的知情决策工具在改善门诊心力衰竭患者药物处方遵守方面的有效性.
- 评估患者对心力衰竭及其治疗的更好理解是否转化为更好的坚持意愿.
主要方法:
- 一个准实验设计比较了一个试验组 (n=40) 接触到一个知情决策工具和问卷与一个控制组 (n=40) 接受只有问卷.
- 基于COMPAR-EU建议的工具和问卷,评估了愿意遵守高风药物处方的意愿.
- 对陈述的同意被测量在0-4级,高得分表明更大的同意.
主要成果:
- 试验组显著改善了对心力衰竭的理解 (p=0.03),接受联合治疗 (p=0.009) 和每日摄入量要求 (p=0.004).
- 尽管理解得到了改善,但测试组对自己疾病的各个方面都被理解的同意程度较低 (p<0.001),这表明还有其他问题.
- 在试验组和对照组 (p=0.28) 之间没有观察到对坚持HF药物治疗的意愿有显著差异.
结论:
- 自学工具有效地提高了心力衰竭患者对疾病的理解和治疗的必要性.
- 该工具并没有显著改善患者遵守药物处方的意愿,这可能是由于未解决的患者问题.
- 需要进一步完善决策工具,以解决剩余的不确定性,并充分支持心力衰竭管理中的药物坚持.
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