系统性红血性狼患者中药物信仰和坚持障碍的种族差异
Shivani Rangaswamy1, Amanda M Eudy2, Megan E B Clowse2
1Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
Lupus
|December 1, 2025
概括
患有全身性红斑狼 (SLE) 的黑人患者表现出较低的药物坚持,因为人们对药物危害和必要性的担忧更大. 解决这些独特的障碍对于改善该群体中SLE管理至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 健康差异 在健康上的差异
- 患者的坚持 患者的坚持
背景情况:
- 系统性红斑狼 (SLE) 不成比例地影响黑人患者,与白人患者相比,他们表现出较低的药物坚持.
- 了解种族差异导致不服药的原因和药物信仰对于改善SLE结果至关重要.
研究的目的:
- 调查黑人和白人患有SLE患者对药物的信仰的种族差异以及不服药的原因.
- 为了比较种族群体之间的药物坚持率和相关信念.
主要方法:
- 对123名黑白SLE患者的横截面分析.
- 使用了关于药物的信仰问卷和SLE特定领域的主观程度的不遵守调查.
- 根据每组的种族和坚持水平,比较得分.
主要成果:
- 黑人患者 (44%) 的坚持比白人患者 (64%) 低.
- 黑人患者报告说,他们更担心SLE药物的过度使用,危害和必要性.
- 黑人患者独特的原因包括感觉良好,生育问题和对医生的不信任.
结论:
- 黑色SLE患者的不遵守与对药物的危害和必要性的担忧有关,这可能表明医疗不信任.
- 需要量身定制的临床方法来解决患者的具体问题,并提高药物坚持,以更好地管理SLE.
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