根据在透析室存在或不存在移民背景的药物坚持和感知 (DIANA定性研究)
Jennifer Dotta-Celio1,2,3, Mélanie Lelubre1,2,3, Sabrina Bolzon1,2,3
1Department of Ambulatory Care, Pharmacy, Unisanté, Center for Primary Care and Public Health & University of Lausanne, Lausanne, Switzerland.
Patient preference and adherence
|July 24, 2025
概括
迁移状态会影响药物服药. 这项研究探讨了患者如何管理药物,揭示了基于他们的背景的知识和感知差异. 需要量身定制的方法来改善患者的治疗结果.
科学领域:
- 医学社会学 医学社会学
- 医疗保健服务研究 医疗服务研究
- 质量健康研究 质量健康研究
背景情况:
- 药物坚持对于慢性疾病管理至关重要,但影响药物坚持的因素仍然不完全理解.
- 移民状况在很大程度上被忽视为药物坚持和管理策略的决定因素.
研究的目的:
- 探索透析患者的药物管理,知识和看法.
- 根据患者的移民状况,确定这些方面的差异.
主要方法:
- 一个单一的定性研究,涉及18名慢性透析患者的深入面对面采访.
- 对转录的采访进行内容分析,对非母语人士使用口译员.
主要成果:
- 患者通常将药物摄入作为一种习惯,尽管有药物负担和副作用,但有很高的感知必要性.
- 差异出现了:瑞士患者比移民患者更多地参与共享决策,并更容易讨论副作用.
- 移民患者,特别是寻求庇护者,对医疗保健系统表示更多的感激.
结论:
- 移民状态影响患者参与共享决策和关于治疗的沟通.
- 量身定制的患者教育,评估健康素养和跨文化临床技能对于改善不同人群的药物服药能力至关重要.
相关概念视频
Kidney Transplant III: Nursing Management
82
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
82
Peritoneal Dialysis III: Nursing Management
146
Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
146
Hemodialysis III: Nursing Management
189
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
189
Factors Affecting Renal Clearance: Renal Impairment
162
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
162
Chronic Kidney Disease III: Interprofessional Care
80
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
80
Chronic Kidney Disease IV: Nursing Management
59
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
59


