新的干预措施,以提高对指导方针指导的医学治疗在听症患者的坚持
Richard Shi1, Nicholas Bulatao1, Adam Tanious1
1Department of Vascular Surgery, Medical University of South Carolina, Charleston, SC 29425, USA.
Journal of clinical medicine
|August 14, 2025
概括
最佳医疗疗法 (OMT) 和监督运动疗法 (SET) 改善了外周动脉疾病的症状,但坚持性很低. 本综述探讨了对听者OMT,SET和生活质量评估的障碍和解决方案.
科学领域:
- 血管医学 血管医学
- 临床运动生理学 临床运动生理学
- 患者报告的结果
背景情况:
- 间歇性音 (IC) 是外周动脉疾病 (PAD) 的主要症状,严重影响日常生活.
- 尽管已证明有好处,但许多IC患者没有获得最佳医疗疗 (OMT) 或监督运动疗法 (SET).
- 生活质量 (QoL) 评估在IC干预之前经常被忽视.
研究的目的:
- 审查支持IC的OMT和SET的组件和证据.
- 检查OMT/SET采用的坚持率和障碍.
- 讨论IC临床实践中QoL指标的发展和不足利用情况.
主要方法:
- 对OMT和SET组件和疗效试验的文献综述.
- 对收养率的分析以及对收养障碍的定性/定量研究.
- 对 QoL 的患者报告结果 (PRO) 指标及其临床使用的审查.
主要成果:
- OMT和SET对IC患者有明显的好处.
- 对OMT和SET的坚持仍然不够理想,并确定了各种患者和系统级障碍.
- 对于QoL的PRO指标在IC的常规临床护理中开发不足,使用不足.
结论:
- 改善对OMT和SET的遵守对于管理IC至关重要.
- 解决治疗采用障碍和提高QoL评估的障碍对于更好的患者结果至关重要.
- 需要新的策略来增加在PAD管理中采用OMT,SET和QOL评估.
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