患者对药物坚持的看法 长期药物管理的反干预措施:对定性证据的系统审查
Barbara Kobson1, Janet Hanley2, Alpana Mair2
1Edinburgh Napier University, Edinburgh, United Kingdom of Great Britain and Northern Ireland. b.kobson@napier.ac.uk.
International journal of clinical pharmacy
|July 16, 2025
概括
患者认为药物坚持反干预措施是可以接受的. 通过共同设计,量身定制的干预措施和改善患者提供者沟通来提高用户参与度是优化药物坚持的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者的坚持 患者的坚持
- 数字健康干预措施 数字健康干预措施
背景情况:
- 优化药物使用是一个全球性的挑战.
- 患者的观点对于开发有效的坚持反干预措施至关重要.
- 了解患者的观点可以改善干预设计和实施.
研究的目的:
- 综合有关患者对药物坚持反干预措施的观点的定性证据.
- 确定影响患者接受和参与这些干预措施的因素.
主要方法:
- 在多个数据库 (CINAHL,EMBASE,MEDLINE,PsycINFO,PubMed) 和灰色文献中进行系统的文献搜索.
- 包括对成年患者对长期疾病的坚持反干预措施的观点的定性或混合方法研究.
- 以ENTREQ和PRISMA指南为指导的提取数据的专题综合,使用MMAT进行质量评估.
主要成果:
- 包括11项评估治疗药物监测和数字坚持干预措施的研究.
- 确定了关键主题:平衡支持/自主,保持患者-提供者关系,并通过定制设计增强参与度.
- 当干预措施用户友好,提供数据控制,包括视听线索和提供支持时,干预措施是可以接受的;信任和共享决策至关重要.
结论:
- 药物坚持反干预措施对于患者来说通常是可以接受的.
- 需要进一步改进,以提高用户参与度和优化遵守.
- 未来的研究应侧重于共同设计的干预措施,改善患者-提供者沟通,准确的反和可扩展性.
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