动脉样性心血管疾病患者的治疗坚持模式:患者和提供者的观点
Mary T Imboden1, Kyle G Jones2, Sarah E Roth2
1CARDS - Center for Cardiovascular Analytics, Research and Data Science, Providence Heart Institute, Providence Health System, Portland, OR, USA.
Progress in cardiovascular diseases
|June 24, 2025
概括
患者对动脉样硬化心血管疾病 (ASCVD) 的降脂疗法 (LLTs) 的坚持与积极的医疗保健经验和感知治疗有效性有关. 改进沟通和评估工具可以提高LLT的遵守和结果.
科学领域:
- 心血管医学 心血管医学
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 动脉样硬化心血管疾病 (ASCVD) 影响全球超过5亿人,推降脂疗法 (LLTs) 为预防.
- 在管理ASCVD方面,低于最佳的药物坚持和LLTs的处方不足是重大挑战.
- 了解患者和处方者因素对于改善LLT遵守至关重要.
研究的目的:
- 确定影响ASCVD患者遵守LLT的患者特异性和处方相关因素.
- 从患者和提供者的角度探索药物坚持的障碍和促进者.
- 为提高LLT坚持和改善ASCVD患者结果的策略提供信息.
主要方法:
- 一种混合方法的方法,将调查和半结构面试与患者和处方者相结合.
- 患者调查 (n=406) 使用适应的坚持开始与知识-12 (ASK-12) 尺度.
- 处方者调查 (n=122) 评估了对坚持障碍的看法和当前的评估实践.
主要成果:
- 接受调查的患者中有16.8%报告ASCVD诊断;84.2%报告服用LLTs.
- 55.7%的患者服用LLTs是坚持的;不坚持与糟糕的医疗保健经验和健康的社会决定因素有关.
- 患者的坚持与足够的提供者时间,尊重的治疗和感知到的药物的有效性相关.
- 处方者认为坚持率较低,并提到遗忘/不方便;很少有人使用坚持评估工具.
结论:
- 患者遵守LLTs与积极的医疗互动和感知到的治疗益处有关.
- 患者报告的坚持和处方医生的看法之间存在差异.
- 实施全面的评估工具和促进开放的沟通对于优化LLT遵守和ASCVD护理至关重要.
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