停止抗发作药物治疗:一种混合方法的探讨,探讨患者在接近决策时考虑的因素
Samuel W Terman1, Jordan M Silva2, Max Kuster3
1University of Michigan, Department of Neurology, Ann Arbor, MI, USA.
Epilepsy research
|June 20, 2025
概括
患者在决定是否停止抗发作药物 (ASM) 时,要权衡副作用,不便和感知治愈的恐惧. 个人讨论对于在管理中停止ASM治疗的决定至关重要.
科学领域:
- 神经学 神经学
- 临床药房 临床药房
- 以患者为中心的护理
背景情况:
- 抗发作药物 (ASM) 是标准的治疗方法.
- 准则建议ASM在抓获自由后撤回.
- 有限的研究存在于患者在停止ASM治疗时的决策.
研究的目的:
- 在停止ASM的决策过程中探索患者相关的因素.
- 了解患者对ASM戒断的看法.
主要方法:
- 混合方法研究涉及32名患有的成年人.
- 参与者至少一年没有发作.
- 半结构面试评估了人们对发作,ASM和停药的态度.
主要成果:
- 停止治疗的原因:副作用,长期担忧,致病性,不便,感知治愈.
- 继续的原因:恐惧发作,心理社会后果,感知到的低负面影响.
- 患者可能会停止如果严重的不良反应被证明或抓获自由保证.
结论:
- 患者对继续或停止ASM的偏好是异质的.
- 关于ASM持续时间的讨论需要个性化.
- 患者咨询应该解决各种治疗偏好和担忧.
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