患者对抗发作药物停用的看法:风险感知,耐受性和咨询的混合方法探索
Samuel W Terman1, Jordan M Silva2, Max Kuster3
1Department of Neurology, University of Michigan, Ann Arbor.
Neurology. Clinical practice
|May 8, 2025
概括
患有的患者认为抗发作药物 (ASM) 的有效性很高,不愿意停止服用. 图形风险沟通工具可以帮助决定在抓获自由后撤回ASM.
科学领域:
- 神经学 神经学
- 临床心理学 临床心理学
背景情况:
- 抗发作药物 (ASM) 是标准的治疗方法.
- 指导方针建议考虑在抓获自由后撤销ASM,因为潜在的不良影响.
研究的目的:
- 探索患者感知到的发作风险,风险耐受性和与ASM戒断有关的风险咨询的经验.
主要方法:
- 在三个学术机构采访了至少一年没有发作的成年人.
- 参与者评价了在ASM上和外的感知发作风险,讨论了ASM延续的临床重要差异最小值,并评价了假设风险下戒断的可能性.
- 回忆起以前的发作风险咨询经验.
主要成果:
- 患者认为ASM (中位数5/10) 的发作风险明显高于ASM (中位数1/10).
- 对ASM的中位数有效率为6/10,可以继续使用,有些人愿意继续使用,以延长无时间.
- 50%的参与者希望数字扣押风险信息用于退出决定,特别是图形格式.
结论:
- 患者认为ASM非常有效,并表示不愿意退出.
- 假设的发作风险信息会影响决策,并且欢迎使用图形工具进行风险沟通.
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