影响中国老年人身体多病症和多药性的药物坚持因素:一项跨部门研究
Xuewei Wang1,2, Phanida Juntasopeepun1, Sirirat Panuthai1
1Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
Nursing & health sciences
|July 17, 2025
概括
在多种疾病的老年人中,药物坚持是中度的. 诸如低药物素养和社会支持等因素显著影响了药物坚持,这表明了改善干预的目标.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 药物不服药是慢性疾病管理的一个重要问题,导致不良健康结果和增加医疗保健成本.
- 患有多种慢性疾病 (多重病变) 和复杂药物治疗方案 (多种药物治疗) 的老年人特别容易受到不服药的影响.
研究的目的:
- 调查中国东北部身体多病症和多药症的社区老年人中药物坚持水平.
- 确定影响这种特定人群服药的关键因素.
主要方法:
- 在中国东北部,对240名老年人进行了横截面研究.
- 通过结构化采访收集数据,重点关注药物坚持和影响因素,如社会支持,信仰,识字,抑郁症,副作用,药物数量和患者与提供者的关系.
- 用多重线性回归分析来确定独立变量与药物坚持之间的关联.
主要成果:
- 研究发现,参与者对药物的坚持程度处于中等水平.
- 与较差的药物坚持相关的关键因素包括不充分的药物素养,强烈的疾病代表性,较低的感知功能社会支持,抑郁症和对传统中医学的强烈信念.
- 对于药物素养 (p < 0.001),疾病代表性 (p = 0.003),社会支持 (p = 0.008),抑郁症 (p = 0.050) 和TCM信仰 (p = 0.040) 观察到有统计学意义的关联.
结论:
- 该研究确定了几种可修改的风险因素,这些风险因素有助于在身体多病症和多药性老年人中导致药物不服药.
- 这些发现强调了解决药物素养,社会支持,心理因素和文化信仰在制定有针对性的干预措施时的重要性.
- 专注于这些因素的文化定制干预措施可能会改善药物坚持和提高这一脆弱人群的健康结果.
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