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了解影响黑人美国人遵守抗高血压药物的系统级经验
Molly C Kokenge1,2, Todd M Ruppar3, Wrenetha Julion3
1Orvis School of Nursing, University of Nevada, 1664 N. Virginia St., MS 0134,, Reno, NV, 89557, USA. mkokenge@unr.edu.
Journal of racial and ethnic health disparities
|June 24, 2025
概括
黑人美国人面临的挑战是抗高血压药物的坚持. 了解社会,经济和卫生系统因素是改善药物服药 (MA) 和减少健康差异的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 定性研究是指质量研究.
背景情况:
- 美国黑人有较高的抗高血压药物不服药率,导致发病率和死亡率增加.
- 系统级因素对药物坚持 (MA) 的影响在这个人群中仍未得到充分研究.
研究的目的:
- 探索患者对影响抗高血压药物坚持 (MA) 的系统级经验的看法.
- 从患者的角度确定抗高血压药物MA的障碍和促进因素.
主要方法:
- 通过Zoom进行半结构面试的定性描述性研究.
- 面试成绩单的专题分析,由第二个团队成员进行编码验证.
- 社区咨询小组对成员的可信度进行检查.
主要成果:
- 出现了四个主要主题:社会和经济障碍,社会和经济促进者,卫生系统层面的障碍和卫生系统层面的促进者.
- 副主题揭示了后勤挑战和复杂的系统级影响对抗高血压MA.
- 识别的促进者为干预和政策增强提供了潜力.
结论:
- 系统层面的因素显著影响黑人美国人对抗高血压药物 (MA) 的坚持.
- 干预措施应利用已识别的社会,经济和卫生系统促进者.
- 解决这些因素可以改善医疗保健提供和促进药物坚持.
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