血压 药物 副作用 症状 和 患者 治疗 满意度 和 坚持
Karen L Margolis1, A Lauren Crain2, Pamala A Pawloski2
1From the HealthPartners Institute, Minneapolis, MN (KLM, ALC, PAP, JYZ, NKT, ARB, MSB, CKN, LIS, JMSH); HealthPartners, Minneapolis, MN (DJR); Kaiser Permanente Washington Research Institute, Seattle, WA (BBG). Karen.L.Margolis@healthpartners.com.
Journal of the American Board of Family Medicine : JABFM
|June 27, 2025
概括
血压药物的副作用很常见,影响治疗满意度和坚持. 解决这些症状可以改善血压控制和患者的结果.
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.
- 主要护理是指初级护理.
背景情况:
- 血压 (BP) 药物的副作用可能会对坚持,满意度和BP控制产生负面影响.
- 了解这些症状的发病率和特征对于管理高血压至关重要.
研究的目的:
- 为了确定高血压药物副作用症状的频率和性质,在控制不良的高血压患者中.
- 检查这些症状,治疗满意度和药物坚持之间的关系.
主要方法:
- 一项实用性试验调查了1719名患者对6种潜在的BP药物副作用症状.
- 评估了症状的严重程度和与药物相关性的感知.
- 后勤回归分析了症状严重程度和相关性对治疗满意度和坚持治疗的影响.
主要成果:
- 90%服用高血压药物的患者报告至少有一种有问题的症状.
- 39%的人将症状视为"大或非常大的问题",34%的人认为症状与药物有关.
- 较高的症状严重程度和感知到的药物相关性与较低的满意度和坚持相关.
结论:
- 血压药物的副作用非常普遍,并且往往是患者的重要问题.
- 识别和管理这些症状可能会提高BP的结果.
- 一个简短的症状评估工具可能有助于提高患者的满意度和坚持.
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