在末期病患者中遵守治疗方案:一个横截面研究
Fatima Sameer Belhmer1, Mohammed Abdullah Al Amad1, Mogahed H Albitahi2
1Yemen-Field Epidemiology Training Program, Ministry of Public Health and Population, Sana'a City, Yemen.
概括
患者对末期脏病 (ESRD) 治疗的坚持总体上是中度的,但对血液透析 (HD) 很好. 住院和咨询等因素对坚持有重大影响,强调需要定期对患者进行教育.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 患者护理 患者护理
背景情况:
- 坚持治疗方案对于改善末期病 (ESRD) 患者的临床结果至关重要.
- 缺乏关于也门ESRD患者治疗坚持情况的数据.
研究的目的:
- 评估ESRD患者对血液透析 (HD),药物,饮食改变和流体管理的坚持水平.
- 确定与也门ESRD患者的治疗坚持相关的因素.
主要方法:
- 一项涉及393名ESRD患者的描述性横截面研究.
- 通过面对面采访收集的数据,使用末期脏病坚持调查问卷 (ESRD-AQ).
- 根据得分,依从性被评为好 (≥83%),中等 (58-83%) 或差 (<58%);用于分析的非参数测试 (p<0.005).
主要成果:
- 整体坚持是中度的 (平均得分为933.5±210),对HD的坚持很好 (88.5%),但对药物 (76.7%),饮食 (61.9%) 和液体 (61.6%) 的坚持是中度的.
- 与城市居住相关的更高的坚持,HD持续时间<5年,对治疗,药物,液体和饮食限制的积极看法.
- 较低的坚持与饮食和液体限制方面的咨询不足有关.
结论:
- 这项研究提供了关于也门ESRD治疗坚持的第一个基线数据,揭示了适度的整体坚持与良好的HD坚持.
- 坚持与住院,HD持续时间,治疗感知和咨询质量有显著的关联.
- 建议定期咨询以改善坚持;需要多中心研究来探索因果关系.
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