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糖尿病患者的药物坚持干预:系统性审查
Meng Wang1, Khuan Lee1, Hui Zhu Thew2
1Department of Nursing, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang, SGR, Malaysia.
Patient preference and adherence
|October 13, 2025
概括
改善糖尿病 (DM) 患者的药物服药能力至关重要. 多组件干预措施有望提高糖尿病患者的坚持,并得到各种传统和现代策略的支持.
科学领域:
- 内分泌学和新陈代谢学
- 公共卫生 公共卫生
- 基于证据的医学基于证据的医学.
背景情况:
- 药物坚持是管理糖尿病 (DM) 的关键组成部分.
- 已经开发了许多干预措施,以提高患者对处方治疗的坚持.
- 有效的坚持策略对于改善糖尿病人群的健康结果至关重要.
研究的目的:
- 系统地审查和综合各种旨在改善糖尿病患者药物坚持的干预措施的有效性.
- 评估各种干预类型对糖尿病患者药物坚持率的影响.
主要方法:
- 在五个主要数据库 (PubMed,Scopus,Embase,Cochrane Library,ProQuest) 进行了全面的文献搜索,查找2015年1月至2025年4月期间发表的研究.
- 包括专注于糖尿病患者的研究和针对药物坚持的干预措施,优先考虑随机对照试验 (RCT).
- 研究选择和质量评估是由三个研究人员独立进行的.
主要成果:
- 包括38项研究,18项被评为偏见风险低的研究.
- 面对面教育和多组件干预是最常见的策略,特别是在发展中国家.
- 摩里斯基药物坚持度表 (MMAS) 经常用于坚持度测量;八项研究整合了理论模型.
结论:
- 无论是传统的还是现代的干预措施都显示出改善糖尿病患者服药能力的潜力.
- 多组件干预似乎是最有效的策略.
- 未来的研究应该探索理论模型的整合和跨不同人群的长期有效性.
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