0到10的药物坚持度表与药物持有率的验证:比较分析
Norbert Rosario1,2, DeWayne Davidson1,3, Oralia Bazaldua1,3
1Department of Family & Community Medicine, Joe R. & Teresa Lozano School of Medicine, UT Health San Antonio, San Antonio, TX.
概括
0到10的药物坚持度表有效地衡量了患者的坚持,与药物持有率 (MPR) 相对应. 这种简单的工具有助于临床实践评估药物坚持,以获得更好的患者结果.
科学领域:
- 临床药房 临床药房
- 健康 结果 研究 研究 结果
- 患者坚持测量的测量
背景情况:
- 药物不服药导致医疗保健成本增加,医疗保健质量下降.
- 缺乏一种普遍接受的黄金标准来衡量药物坚持性.
- 药房质量联盟将依从性定义为至少0.80.8的药物占有率 (MPR).
研究的目的:
- 为了验证0至10的药物坚持度表与MPR相对应.
- 评估尺度对药物坚持性进行分类的能力.
- 为了评估一个简单的自我报告工具的实用性,用于粘附测量.
主要方法:
- 美国德克萨斯州圣安东尼奥市长期患有慢性疾病的成年人的前性研究.
- 包括≥3个药物填充和临床药剂师看到的患者.
- 参与者完成了0至10的药物坚持度表;MPR是根据药房记录计算的.
主要成果:
- 自我报告的9+坚持度得分与MPR≥0.80 (P=0.0185) 有显著相关.
- 斯皮尔曼相关性 (r=0.3569) 和ROC分析 (AUC=1.00) 证实了尺度的有效性.
- 科恩的kappa表示了规模和MPR之间的公平协议 (κ=0.3226).
结论:
- 0到10的药物坚持度表是评估药物坚持度的快速有效工具.
- 该尺度表现出与MPR的强烈相关性,支持其有效性.
- 它的简单性有助于将其纳入常规临床实践,以进行依从性评估.
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