结构化药物采访提高了DOAC治疗中的知识和药物坚持:来自EDUC-AOD研究的见解
Samuel D Cohen1, François Bouvier2, Claire-Marie Tissot3
1Hospital Pharmacy, Bégin Military Teaching Hospital, Saint-Mandé 94160, France; Hospital Pharmacy, Montreuil Hospital, Montreuil 93100, France; Sorbonne University, CIC 1901, Department of Pharmacology, La Pitié Salpêtrière Hospital, Paris 75651, France.
结构化药物访谈 (SPI) 显著改善了患者的知识和直接口服抗凝剂 (DOAC) 的坚持. 这种干预也导致了临床并发症的减少,优化了抗凝剂治疗.
科学领域:
- 药理学 药理学是指药理学的学科.
- 患者教育 患者教育
- 临床药房 临床药房
背景情况:
- 直接口服抗凝剂 (DOAC) 是对心房动和静脉血栓栓塞的必要治疗方法.
- 提高患者对DOAC治疗的了解,对于改善患者的坚持和减少并发症至关重要.
研究的目的:
- 评估结构化药学访谈 (SPI) 对患者知识和药物坚持对DOACs的影响.
- 评估SPI对与DOAC治疗相关的临床并发症的影响.
主要方法:
- 一项涉及患者的研究在两个中心新开处方的DOAC,其中一个中心提供SPI.
- 标准化问卷评估了3个月和6个月的知识和坚持.
- 多变量逻辑回归分析了改善结果的预测因素,并根据倾向得分进行调整.
主要成果:
- 接受SPI治疗的患者在3个月后表现出明显更高的令人满意的知识 (74%对12%) 和良好的药物坚持 (86%对64%).
- SPI是改善知识和遵守的强有力的预测指标.
- 干预组在6个月 (0 vs 9) 经历的临床并发症较少.
结论:
- 结构化药物采访显著提高了患者的知识和对DOAC治疗的坚持.
- SPI有助于减少与DOACs相关的临床并发症.
- 将SPI整合到常规实践中可以优化抗凝剂管理.
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