埃塞俄比亚心血管疾病患者的药物相关问题和促成因素:系统性审查和元分析
Mengistie Yirsaw Gobezie1, Nuhamin Alemayehu Tesfaye2, Mulat Belete Demessie2
1Department of Clinical Pharmacy, School of Pharmacy, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia. zemen.girum@gmail.com.
Systematic reviews
|December 2, 2025
概括
与药物相关的问题 (MRPs) 的高患病率影响了埃塞俄比亚74%的心血管疾病 (CVD) 患者. 需要进行干预措施,以改善这些人的药物管理和患者结果.
科学领域:
- 药物监督 药物监督 药物监督
- 公共卫生 公共卫生
- 临床药房 临床药房
背景情况:
- 心血管疾病 (CVD) 是一个主要的全球健康问题.
- 埃塞俄比亚在控制心血管疾病方面面临着重大挑战,特别是与药物相关的问题 (MRPs).
研究的目的:
- 系统地审查和对埃塞俄比亚心血管疾病患者中MRP的流行情况进行元分析.
- 为了确定这种患者群体中常见的MRPs和促成因素.
主要方法:
- 遵守PRISMA指南和PROSPERO注册 (CRD42024501087) 的要求.
- 在PubMed,Hinari,Embase和Scopus上进行全面的文献搜索.
- 使用加权逆随机效应模型进行元分析,并进行子组和灵敏度分析.
主要成果:
- 在22项研究中,在5700名心血管疾病患者中,MRPs的综合患病率为74% (95% CI 66-81).
- 平均每患者1.65个MRP,不遵守 (18%),无效治疗 (16%) 和需要额外的药物 (15%) 是常见的.
- 多药性,患者参与度低,并发症和疾病持续时间被确定为促成因素.
结论:
- 高MRP患病率需要有针对性的干预措施,以优化埃塞俄比亚心血管疾病患者的药物管理.
- 医疗保健提供者应优先考虑个性化护理,定期药物审查和患者教育.
- 解决MRPs对于改善心血管疾病管理中的患者结果至关重要.
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