治疗坚持和慢性病:心理方面,有助于因素,以及潜在的杆
Stanislas Bobot1, Valentine Cazauvieilh2, Flora Lefèvre2
1Psychologie de la santé, Université Toulouse Jean Jaurès, Toulouse, France
概括
在慢性病 (CKD) 中,不坚持治疗是常见的,影响药物,饮食和生活方式的选择. 解决心理和社会因素是改善患者坚持和结果的关键.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 不遵守治疗影响30-50%的慢性疾病患者,增加并发症和住院治疗.
- 在慢性病 (CKD) 中,不坚持药物,饮食和生活方式的影响,影响高达62%的血液透析和28%的移植患者.
- 慢性脏病的无症状性质,沉重的药物负担,以及高频率的认知/抑郁障碍有助于坚持挑战.
研究的目的:
- 审查CKD患者不坚持背后的心理和医疗因素.
- 探索潜在的治疗策略,以改善CKD患者的治疗坚持.
- 突出卫生保健专业人员在检测和管理不服从方面的作用.
主要方法:
- 这是一篇总体综述,综合了关于CKD不遵守现有文献.
- 该评论讨论了不遵守的心理,医疗和社会方面.
- 研究了潜在的治疗干预措施.
主要成果:
- 慢性脏病的不坚持是多因素的,受疾病特征,心理状态和社会因素的影响.
- 风险因素包括年轻,社会孤立,认知障碍和抑郁症.
- 坚持性评估是复杂的,并且可以在不同患者之间和随着时间的推移而有显著的变化.
结论:
- 在CKD中,不遵守是需要全面方法的重大问题.
- 了解潜在的心理和社会困难对于有效管理至关重要.
- 医疗保健专业人员在识别和支持遵守方面发挥着至关重要的作用.
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