多药学中的健康素养和药物坚持:临床实践的系统审查
Inês Jordão1,2, Patrícia Paiva2,1,3, Patrícia Dias2
1Faculty of Medicine, University of Coimbra, Coimbra, PRT.
Cureus
|August 20, 2025
概括
低健康素养 (HL) 显著影响药物坚持和增加处方错误,特别是在多药房患者中. 改善HL的干预措施可以改善患者的治疗结果并降低医疗保健成本.
科学领域:
- 医疗服务研究
- 耐心地坚持
- 药物管理
背景情况:
- 医疗素养 (HL) 对于药物坚持至关重要,但在多药学方面还未得到充分研究.
- 关于HL对药物使用和服药的直接影响的研究有限.
- 现有的坚持性研究很少将HL作为主要变量.
研究的目的:
- 综合目前关于健康素养水平与药物坚持之间的证据.
- 确定低健康素养对药物使用和患者结果的影响.
- 评估针对多药房患者健康素养的干预措施的有效性.
主要方法:
- 在2019年至2024年间发表的16项研究的PRISMA引导系统审查.
- 在PubMed,Scopus和SciELO数据库中进行文献搜索.
- 专注于使用HL评估工具和遵守措施的研究.
主要成果:
- 低健康素养 (LHL) 与非故意的不服药率增加了2. 6倍,处方误解率增加了68% (p < 0. 01).
- 药剂师主导的干预措施和视觉辅助工具提高了高达52%的粘附度,并减少了剂量错误.
- 患有LHL的患者在入院30天的时间增加了35%.
结论:
- 整合HL查到多药房管理是必不可少的.
- 对HL敏感的干预措施对于减少药物错误和医疗成本至关重要.
- 政策制定者应优先考虑针对弱势患者群体的HL改善策略.
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